| Lakeview Dental Clinic | |
| 
					603 Bemidji Ave N Bemidji MN 56601-3015  | |
| (218) 751-4523 | |
| (218) 751-0285 | 
| Full Name | Lakeview Dental Clinic | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 603 Bemidji Ave N, Bemidji, Minnesota | 
| Authorized Official Name and Position | Angie Faye Webb (RECEPTIONIST) | 
| Authorized Official Contact | 2187514523 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakeview Dental Clinic 603 Bemidji Ave N Bemidji MN 56601-3015 Ph: (218) 751-4523  | Lakeview Dental Clinic 603 Bemidji Ave N Bemidji MN 56601-3015 Ph: (218) 751-4523  | 
| NPI Number | 1750610721 | 
|---|---|
| Provider Enumeration Date | 12/21/2009 | 
| Last Update Date | 12/21/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750610721 | NPI | - | NPPES | 
| 1962575043 | Medicaid | MN | |
| 1821161910 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10118 (Minnesota) | Secondary | 
| 1223G0001X | Dentist - General Practice | 8362 (Minnesota) | Primary | 
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