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LEWISTON DENTAL CARE
NPI 1801443049
Dentist - General Practice in Lewiston, MN

Active since August 22, 2019
560 DEBRA DR, LEWISTON, MN 55952(507) 523-1071(507) 523-1078 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lewiston Dental Care NPPES

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

LEWISTON DENTAL CARE (NPI 1801443049) is a healthcare organization registered as a general practice in Lewiston, Minnesota and active in the NPI registry since August 2019. The organization lists Bradley John Bullard, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1801443049
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEWISTON DENTAL CARE
Location Address560 DEBRA DRLewiston, MN 55952
Mailing Address560 Debra Dr, Po Box 697Lewiston, MN 55952 · (507) 523-1071 · Fax (507) 523-1078
Phone(507) 523-1071
Fax(507) 523-1078
Organization SubpartNo
Authorized OfficialBradley John BullardDentist/owner · (507) 523-1071
Enumeration DateAugust 22, 2019
✔ NPI 1801443049 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.
560 DEBRA DR, Lewiston, MN 55952
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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 2

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

MODERN DENTAL PROFESSIONALS, MN PC
Dentist
560 DEBRA DR
LEWISTON, MN 55952
Winona County (507) 523-2267
DR. MICHAEL THOMAS FLYNN D.D.S.
Dentist (General Practice)
560 DEBRA DR
LEWISTON, MN 55952
Winona County (507) 523-2267

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 Lewiston Dental Care's NPI number?

The NPI number for Lewiston Dental Care is 1801443049. It was assigned to this organization in the NPPES registry on August 22, 2019.

Where is Lewiston Dental Care located?

Lewiston Dental Care is located at 560 Debra Dr, Lewiston, MN 55952. The listed phone number is (507) 523-1071.

What is Lewiston Dental Care'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 Lewiston Dental Care was last updated on August 22, 2019. 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.