OrganizationActive
Great River Dentistry of Bemidji, P.A.
NPI 1821260654 · General Practice Dentistry · Bemidji, MN
Great River Dentistry of Bemidji, P.A. is a General Practice Dentistry organization in Bemidji, MN (NPI 1821260654).
Provider details
- NPI number
- 1821260654
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Williams, Owner(218) 751-4216
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3622 Moberg Dr Nw
Bemidji, MN 56601-5644
Phone: (218) 751-4216
Fax: (218) 444-6057
Street-level locationGet directions
Mailing address
Po Box 1005
Bemidji, MN 56619-1005
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2008-06-11
Frequently asked questions
- What is Great River Dentistry of Bemidji, P.A.'s NPI number?
- Great River Dentistry of Bemidji, P.A.'s National Provider Identifier (NPI) is 1821260654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great River Dentistry of Bemidji, P.A.?
- Great River Dentistry of Bemidji, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Great River Dentistry of Bemidji, P.A. located?
- Great River Dentistry of Bemidji, P.A.'s practice location on file with NPPES is 3622 Moberg Dr Nw, Bemidji, MN 56601-5644.
- What is Great River Dentistry of Bemidji, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Great River Dentistry of Bemidji, P.A. is (218) 751-4216.
- Who is the authorized official for Great River Dentistry of Bemidji, P.A.?
- The authorized official listed on Great River Dentistry of Bemidji, P.A.'s NPPES record is Douglas Williams, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great River Dentistry of Bemidji, P.A.'s NPI active?
- Yes — Great River Dentistry of Bemidji, P.A.'s NPI (1821260654) is active in the NPPES registry as of the last update on 2008-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.