IndividualActive
Benjamin Buntrock, DMD
NPI 1023372265 · Dentist · Detroit Lakes, MN
Provider details
- NPI number
- 1023372265
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D13140 (MN)
Specialties & taxonomies
Dental Providers
Practice location
1106 W River Rd
Detroit Lakes, MN 56501-2723
Phone: (218) 846-1900
Approximate (ZIP-level) locationGet directions
Mailing address
1106 W River Rd
Detroit Lakes, MN 56501-2723
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2012-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.