OrganizationActive
Deer River Dental Clinic
NPI 1417464157 · Endodontics · Deer River, MN
Deer River Dental Clinic is a Endodontics organization in Deer River, MN (NPI 1417464157).
Provider details
- NPI number
- 1417464157
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Ccarter, Dentist/Owner(218) 246-8200
- License
- D9499 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
111 Main Street E
Deer River, MN 56636
Phone: (218) 246-8200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 40
Deer River, MN 56636-0040
Registry dates
- Enumerated
- 2018-01-03
- Last updated
- 2018-01-03
Frequently asked questions
- What is Deer River Dental Clinic's NPI number?
- Deer River Dental Clinic's National Provider Identifier (NPI) is 1417464157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deer River Dental Clinic?
- Deer River Dental Clinic is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Deer River Dental Clinic located?
- Deer River Dental Clinic's practice location on file with NPPES is 111 Main Street E, Deer River, MN 56636.
- What is Deer River Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Deer River Dental Clinic is (218) 246-8200.
- Who is the authorized official for Deer River Dental Clinic?
- The authorized official listed on Deer River Dental Clinic's NPPES record is Jeffrey Ccarter, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deer River Dental Clinic's NPI active?
- Yes — Deer River Dental Clinic's NPI (1417464157) is active in the NPPES registry as of the last update on 2018-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.