Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RED RIVER DENTAL CLINIC LTD
Active
Organization
RED RIVER DENTAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN JOHNSON DDS (OWNER)
(218) 773-3004
Entity
Organization
Contact information
Practice address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Mailing address
1416 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-3004
(218) 773-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13228
MN
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers