Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great River Dentistry of Bemidji, PA

Organization General Practice Dentistry · NPI 1821260654

Great River Dentistry of Bemidji, PA provides 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 Not confirmed with CMS for 18 years — call before visiting
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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