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

Great River Dentistry of Bemidji, PLLC

Organization Dental Clinic/Center · NPI 1982156147

Great River Dentistry of Bemidji, PLLC is a Dental Clinic/Center in Bemidji, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
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

Dental Clinic/Center (primary) Taxonomy 261QD0000X (MN)

Record details

NPI number1982156147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Baret Williams-Furfaro — Owner Dds · (218) 751-4216
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016
Mailing addressPo Box 1005, Bemidji, MN 56619-1005

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