OrganizationActive
Phs Indian Hospital
NPI 1609392992 · General Practice Dentistry · Redlake, MN
Provider details
- NPI number
- 1609392992
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Janice Thunder, Business Office Manager(218) 679-3912
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
Po Box 497
Redlake, MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Approximate (ZIP-level) locationGet directions
Mailing address
24760 Hospital Drive
Red Lake, MN 56671
Other names (DBA / former)
- Doing business as
- Phs Indian Hospital-Dental
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.