OrganizationActive
Range Family Dental LLC
NPI 1104218239 · Dentist · Virginia, MN
Provider details
- NPI number
- 1104218239
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jason Berg, Owner(218) 741-0089
- License
- D12816 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 Chestnut St
Suite 200
Virginia, MN 55792-2541
Phone: (218) 741-0089
Street-level locationGet directions
Mailing address
302 Chestnut St
Virginia, MN 55792-2541
Registry dates
- Enumerated
- 2015-02-26
- Last updated
- 2015-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.