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PRAIRIE DENTAL CENTERS PA
NPI 1447310636
Dentist - General Practice in Ada, MN

Active since December 11, 2006
200 E MAIN ST, ADA, MN 56510(218) 784-7119(218) 784-2381 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prairie Dental Centers Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE DENTAL CENTERS PA (NPI 1447310636) is a healthcare organization registered as a general practice in Ada, Minnesota and active in the NPI registry since December 2006. The organization lists David Resnick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1447310636
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRAIRIE DENTAL CENTERS PA
Location Address200 E MAIN STAda, MN 56510
Mailing Address200 E Main StAda, MN 56510 · (218) 784-7119
Phone(218) 784-7119
Fax(218) 784-2381
Organization SubpartNo
Authorized OfficialDavid ResnickCfo · (218) 784-7119
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447310636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · 10681✔ Licensed in MN · 10680
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 E MAIN ST, Ada, MN 56510
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID A RESNICK D.D.S.
Dentist (General Practice)
200 E MAIN ST
ADA, MN 56510
Norman County (218) 784-7119
ALEX PROVO
Dentist
200 E MAIN ST
ADA, MN 56510
Norman County (218) 784-7119
DR. DEBRA A ETTLE D.D.S.
Dentist (General Practice)
200 E MAIN ST
ADA, MN 56510
Norman County (218) 784-7119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Dental Centers PA's NPI number?

The NPI number for Prairie Dental Centers PA is 1447310636. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Prairie Dental Centers PA located?

Prairie Dental Centers PA is located at 200 E Main St, Ada, MN 56510. The listed phone number is (218) 784-7119.

What is Prairie Dental Centers PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Prairie Dental Centers PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.