Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great River Dentistry of Bemidji, PA

Organization General Practice Dentistry · NPI 1821260654

Great River Dentistry of Bemidji, PA is a General Practice Dentistry in Bemidji, Minnesota. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3622 Moberg Dr NW
Bemidji, MN 56601-5644
Phone: (218) 751-4216
Fax: (218) 444-6057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1821260654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Williams — Owner · (218) 751-4216
NPI enumeratedApril 1, 2008
Last updated in NPPESJune 11, 2008
Mailing addressPo Box 1005, Bemidji, MN 56619-1005

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