OrganizationActive
Moosecreek Dental Co
NPI 1700747631 · General Practice Dentistry · Bemidji, MN
Moosecreek Dental Co is a General Practice Dentistry organization in Bemidji, MN (NPI 1700747631).
Provider details
- NPI number
- 1700747631
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Mccollum, Dentist(218) 556-8083
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2229 23rd St Nw
Bemidji, MN 56601-5503
Phone: (218) 333-6515
Street-level locationGet directions
Mailing address
50757 Winterberry Dr
Cass Lake, MN 56633-3148
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Moosecreek Dental Co's NPI number?
- Moosecreek Dental Co's National Provider Identifier (NPI) is 1700747631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moosecreek Dental Co?
- Moosecreek Dental Co is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Moosecreek Dental Co located?
- Moosecreek Dental Co's practice location on file with NPPES is 2229 23rd St Nw, Bemidji, MN 56601-5503.
- What is Moosecreek Dental Co's phone number?
- The practice phone number listed in the NPPES registry for Moosecreek Dental Co is (218) 333-6515.
- Who is the authorized official for Moosecreek Dental Co?
- The authorized official listed on Moosecreek Dental Co's NPPES record is Ryan Mccollum, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moosecreek Dental Co's NPI active?
- Yes — Moosecreek Dental Co's NPI (1700747631) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.