MORA DENTAL CENTER
NPI 1700065687
Clinic/Center - Dental in Mora, MN

Active since October 29, 2007
547 UNION ST S, MORA, MN 55051(320) 679-2147(320) 679-2101 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mora Dental Center NPPES

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

MORA DENTAL CENTER (NPI 1700065687) is a healthcare organization registered as a dental in Mora, Minnesota and active in the NPI registry since October 2007. The organization lists Reny Chacko, Dentist, as its authorized official.

NPPES Registry Identity

NPI1700065687
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMORA DENTAL CENTER
Location Address547 UNION ST SMora, MN 55051-1817
Mailing Address547 Union St SMora, MN 55051-1817 · (320) 679-2147 · Fax (320) 679-2101
Fax(320) 679-2101
Organization SubpartNo
Authorized OfficialReny ChackoDentist · (320) 679-2147
Enumeration DateOctober 29, 2007
NPI 1700065687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · 11844
547 UNION ST S, Mora, MN 55051

Other Providers at the Same Location NPPES 2

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

Dentist
547 UNION ST S
MORA, MN 55051
Dentist (General Practice)
547 UNION ST S
MORA, MN 55051

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 Mora Dental Center's NPI number?

The NPI number for Mora Dental Center is 1700065687. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Mora Dental Center located?

Mora Dental Center is located at 547 Union St S, Mora, MN 55051. The listed phone number is (320) 679-2147.

What is Mora Dental Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mora Dental Center was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.