GREAT LAKES CHILDRENS DENTAL CARE PA – Public Health Dentistry, NPI 1790795821

GREAT LAKES CHILDRENS DENTAL CARE PA is a healthcare provider. based in Duluth, Minnesota. specializing in Public Health Dentistry. The organization holds a License No. D10919 (MN). The NPI Number for GREAT LAKES CHILDRENS DENTAL CARE PA is 1790795821

Main info

Organization
Name
GREAT LAKES CHILDRENS DENTAL CARE PA
NPI
1790795821
Phone
(218) 525-5100
Address
2710 PIEDMONT AVENUE
Authorized Official
DR. RAMI M GUIRGUIS OWNER DDS MS
Enumeration Date
9 August 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for GREAT LAKES CHILDRENS DENTAL CARE PA

  • 2710, Piedmont Avenue, Piedmont Heights, Central Duluth, Duluth, Saint Louis County, Minnesota, 55811, United States

    DULUTH, MN 55811

    Phone: (218) 525-5100

    Fax: (218) 722-3883

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55811)

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Reviews

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Frequently asked questions

Does GREAT LAKES CHILDRENS DENTAL CARE PA have a public NPI I can cite?
Public records show GREAT LAKES CHILDRENS DENTAL CARE PA under NPI 1790795821.
Does the public listing show GREAT LAKES CHILDRENS DENTAL CARE PA as active?
GREAT LAKES CHILDRENS DENTAL CARE PA's NPI record reflects an active status in NPPES.
What type of care does GREAT LAKES CHILDRENS DENTAL CARE PA provide?
GREAT LAKES CHILDRENS DENTAL CARE PA's profile centers on Public Health Dentistry. Clinical services aligned with this taxonomy classification.
Can patients visit GREAT LAKES CHILDRENS DENTAL CARE PA in Duluth, Minnesota?
For routing, start with Duluth, Minnesota for GREAT LAKES CHILDRENS DENTAL CARE PA, then verify phone and hours locally.
Why is information missing for GREAT LAKES CHILDRENS DENTAL CARE PA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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