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MOOSECREEK DENTAL CO
NPI 1700747631
Dentist - General Practice in Bemidji, MN

Active since November 20, 2025
2229 23RD ST NW, BEMIDJI, MN 56601(218) 333-6515 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moosecreek Dental Co NPPES

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

MOOSECREEK DENTAL CO (NPI 1700747631) is a healthcare organization registered as a general practice in Bemidji, Minnesota and active in the NPI registry since November 2025. The organization lists Ryan Mccollum, Dentist, as its authorized official.

NPPES Registry Identity

NPI1700747631
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOOSECREEK DENTAL CO
Location Address2229 23RD ST NWBemidji, MN 56601-5503
Mailing Address50757 Winterberry DrCass Lake, MN 56633-3148
Phone(218) 333-6515
Organization SubpartNo
Authorized OfficialRyan MccollumDentist · (218) 556-8083
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1700747631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2229 23RD ST NW, Bemidji, MN 56601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. RYAN A MCCOLLUM DDS
Dentist
2229 23RD ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-6515
DR. MICHAEL DAVID FEIL DDS
Dentist
2229 23RD ST NW, HELTBWATERS DENTAL
BEMIDJI, MN 56601
Beltrami County (218) 333-6515
DR. PATRICIA WINSLOW FEIL DDS
Dentist
2229 23RD ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-6515
HEADWATERS DENTAL
Dentist (General Practice)
2229 23RD ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-6515

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 Moosecreek Dental Co's NPI number?

The NPI number for Moosecreek Dental Co is 1700747631. It was assigned to this organization in the NPPES registry on November 20, 2025.

Where is Moosecreek Dental Co located?

Moosecreek Dental Co is located at 2229 23rd St NW, Bemidji, MN 56601. The listed phone number is (218) 333-6515.

What is Moosecreek Dental Co'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 Moosecreek Dental Co was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.