OrganizationActive
Grand Dental Center
NPI 1457644049 · Dentist · Grand Rapids, MN
Grand Dental Center is a Dentist organization in Grand Rapids, MN (NPI 1457644049).
Provider details
- NPI number
- 1457644049
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Johnson, Dentist(218) 326-0339
- License
- D11285 (MN)
Practice location
1604 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 326-0339
Fax: (218) 999-5443
Street-level locationGet directions
Mailing address
1604 Golf Course Rd
Grand Rapids, MN 55744-8648
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2011-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.