Prairie Pines Dental, PLLC
Prairie Pines Dental, PLLC is a Dental Clinic/Center in Fosston, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
109 Johnson Ave NFosston, MN 56542-1327
Phone: (320) 309-5882
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1578291803 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karissa Goetsch — Owner Dentist · (320) 309-5882 |
| NPI enumerated | August 14, 2022 |
| Last updated in NPPES | August 14, 2022 |
| Certification date | August 12, 2022 |
| Mailing address | 109 Johnson Ave N, Fosston, MN 56542-1327 |