OrganizationActive
Prairie Pines Dental, PLLC
NPI 1578291803 · Dental Clinic/Center · Fosston, MN
Prairie Pines Dental, PLLC is a Dental Clinic/Center organization in Fosston, MN (NPI 1578291803).
Provider details
- NPI number
- 1578291803
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karissa Goetsch, Owner Dentist(320) 309-5882
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
109 Johnson Ave N
Fosston, MN 56542-1327
Phone: (320) 309-5882
Street-level locationGet directions
Mailing address
109 Johnson Ave N
Fosston, MN 56542-1327
Registry dates
- Enumerated
- 2022-08-14
- Last updated
- 2022-08-14
- Certified
- 2022-08-12
Frequently asked questions
- What is Prairie Pines Dental, PLLC's NPI number?
- Prairie Pines Dental, PLLC's National Provider Identifier (NPI) is 1578291803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Pines Dental, PLLC?
- Prairie Pines Dental, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prairie Pines Dental, PLLC located?
- Prairie Pines Dental, PLLC's practice location on file with NPPES is 109 Johnson Ave N, Fosston, MN 56542-1327.
- What is Prairie Pines Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie Pines Dental, PLLC is (320) 309-5882.
- Who is the authorized official for Prairie Pines Dental, PLLC?
- The authorized official listed on Prairie Pines Dental, PLLC's NPPES record is Karissa Goetsch, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Pines Dental, PLLC's NPI active?
- Yes — Prairie Pines Dental, PLLC's NPI (1578291803) is active in the NPPES registry as of the last update on 2022-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.