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

Mississippi Headwaters Area Dental Health Center, Inc

Organization Public Health Dentistry · NPI 1457101974

Mississippi Headwaters Area Dental Health Center, Inc provides Public Health Dentistry in Park Rapids, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 Pleasant Ave S
Park Rapids, MN 56470-1417
Phone: (218) 732-4436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X

Record details

NPI number1457101974
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMississippi Headwaters Area Dental Health Center
Authorized official Erica Lundberg — Director Of Finance And Operations · (218) 444-9147
Other names Northern Dental Access Center
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1405 Anne St Nw, Bemidji, MN 56601-5113