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EAST GRAND FORKS DENTAL CARE
NPI 1891912812
Dentist - General Practice in East Grand Forks, MN

Active since April 19, 2007
22 4TH ST. NE, EAST GRAND FORKS, MN 56721(218) 773-0842 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Grand Forks Dental Care NPPES

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

EAST GRAND FORKS DENTAL CARE (NPI 1891912812) is a healthcare organization registered as a general practice in East Grand Forks, Minnesota and active in the NPI registry since April 2007. The organization lists David M Thorfinnson, President, as its authorized official.

NPPES Registry Identity

NPI1891912812
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEAST GRAND FORKS DENTAL CARE
Location Address22 4TH ST. NEEast Grand Forks, MN 56721
Mailing Address22 4th St. NeEast Grand Forks, MN 56721 · (218) 773-0842
Phone(218) 773-0842
Organization SubpartNo
Authorized OfficialDavid M ThorfinnsonPresident · (218) 773-0842
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891912812 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 · 10253
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.
22 4TH ST. NE, East Grand Forks, MN 56721
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Other Identifiers 1

Other989049ND · Dental Service Corp

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Grand Forks Dental Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20220125000752Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Grand Forks Dental Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Thorfinnson, DDS
Oral Surgery
NPI 1346276219
22 4TH ST NE
East Grand Forks, MN 56721
(218) 773-0842
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East Grand Forks Dental Care's NPI number?

The NPI number for East Grand Forks Dental Care is 1891912812. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is East Grand Forks Dental Care located?

East Grand Forks Dental Care is located at 22 4th St. NE, East Grand Forks, MN 56721. The listed phone number is (218) 773-0842.

What is East Grand Forks Dental Care's specialty?

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

Is East Grand Forks Dental Care enrolled in Medicare?

Yes. East Grand Forks Dental Care is registered in the Medicare PECOS enrollment system.

When is East Grand Forks Dental Care's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through East Grand Forks Dental Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to East Grand Forks Dental Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Grand Forks Dental Care accept?

Health plans from Blue Cross Blue Shield of North Dakota list East Grand Forks Dental Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Grand Forks Dental Care 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.