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RED RIVER DENTAL CLINIC LTD
NPI 1780085928
Dentist - General Practice in East Grand Forks, MN

Active since September 08, 2014
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721(218) 773-3004(218) 773-3006 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red River Dental Clinic Ltd NPPES

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

RED RIVER DENTAL CLINIC LTD (NPI 1780085928) is a healthcare organization registered as a general practice in East Grand Forks, Minnesota and active in the NPI registry since September 2014. The organization lists Craig Alan Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1780085928
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRED RIVER DENTAL CLINIC LTD
Location Address1416 CENTRAL AVE NEEast Grand Forks, MN 56721-1605
Mailing Address1416 Central Ave NeEast Grand Forks, MN 56721-1605 · (218) 773-3004 · Fax (218) 773-3006
Phone(218) 773-3004
Fax(218) 773-3006
Organization SubpartNo
Authorized OfficialCraig Alan JohnsonOwner · (218) 773-3004
Enumeration DateSeptember 8, 2014
✔ NPI 1780085928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D13228
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.
1416 CENTRAL AVE NE, East Grand Forks, MN 56721
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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 4

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

IRVIN M. GALSTAD DDS LTD
Dentist (General Practice)
1416 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Polk County (218) 773-3004
DR. GARRET THORLAKSON DMD
Dentist (General Practice)
1416 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Polk County (218) 773-3004
DENTAL GT
Clinic/Center (Dental)
1416 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Polk County (218) 773-3004
DR. CRAIG ALAN JOHNSON DDS
Dentist (General Practice)
1416 CENTRAL AVE NE
EAST GRAND FORKS, MN 56721
Polk County (218) 773-3004

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 Red River Dental Clinic Ltd's NPI number?

The NPI number for Red River Dental Clinic Ltd is 1780085928. It was assigned to this organization in the NPPES registry on September 8, 2014.

Where is Red River Dental Clinic Ltd located?

Red River Dental Clinic Ltd is located at 1416 Central Ave NE, East Grand Forks, MN 56721. The listed phone number is (218) 773-3004.

What is Red River Dental Clinic Ltd'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 Red River Dental Clinic Ltd was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.