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GREAT RIVER DENTISTRY OF BEMIDJI, PLLC
NPI 1982156147
Clinic/Center - Dental in Bemidji, MN

Active since November 03, 2016
3622 MOBERG DR NW, BEMIDJI, MN 56601(218) 751-4216(218) 444-6057 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great River Dentistry Of Bemidji, Pllc NPPES

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

GREAT RIVER DENTISTRY OF BEMIDJI, PLLC (NPI 1982156147) is a healthcare organization registered as a dental in Bemidji, Minnesota and active in the NPI registry since November 2016. The organization lists Baret Williams-furfaro, Owner Dds, as its authorized official.

NPPES Registry Identity

NPI1982156147
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREAT RIVER DENTISTRY OF BEMIDJI, PLLC
Location Address3622 MOBERG DR NWBemidji, MN 56601-5644
Mailing AddressPo Box 1005Bemidji, MN 56619-1005 · (218) 751-4216 · Fax (218) 444-6057
Phone(218) 751-4216
Fax(218) 444-6057
Organization SubpartNo
Authorized OfficialBaret Williams-furfaroOwner Dds · (218) 751-4216
Enumeration DateNovember 3, 2016
✔ NPI 1982156147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3622 MOBERG DR NW, Bemidji, MN 56601
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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.

BARET WILLIAMS-FURFARO
Dentist
3622 MOBERG DR NW
BEMIDJI, MN 56601
Beltrami County (218) 751-4216
MR. JACK RICHARD SAUER
Dentist
3622 MOBERG DR NW
BEMIDJI, MN 56601
Beltrami County (218) 751-4216
BAILEE JO JERGER MDT, RDH
Dental Therapist
3622 MOBERG DR NW
BEMIDJI, MN 56601
Beltrami County (507) 529-0436
GREAT RIVER DENTISTRY OF BEMIDJI, P.A.
Dentist (General Practice)
3622 MOBERG DR NW
BEMIDJI, MN 56601
Beltrami County (218) 751-4216

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 Great River Dentistry Of Bemidji, PLLC's NPI number?

The NPI number for Great River Dentistry Of Bemidji, PLLC is 1982156147. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Great River Dentistry Of Bemidji, PLLC located?

Great River Dentistry Of Bemidji, PLLC is located at 3622 Moberg Dr NW, Bemidji, MN 56601. The listed phone number is (218) 751-4216.

What is Great River Dentistry Of Bemidji, PLLC'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 Great River Dentistry Of Bemidji, PLLC was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.