Duane Mathew Sushoreba, D.D.S.

General Practice Dentistry · Cook, MN

Individual Active NPI

NPI number 1689649386

Practice location

20 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5958
Fax
(218) 666-5099

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NPI record

NPI
1689649386
Entity type
Individual (Type 1)
Enumeration date
February 17, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D8861 MN

Mailing address

20 5TH St SE
Dental
Cook, MN 55723-9702
Phone
(218) 666-5958
Fax
(218) 666-5099

About Dr. Sushoreba

Duane Mathew Sushoreba, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 20 5TH St SE, Cook, MN 55723-9702. The NPI number 1689649386 was assigned on February 17, 2006 and the record was last updated on July 13, 2026.

Dr. Sushoreba lists a license in the registry: #D8861 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Duane Mathew Sushoreba, D.D.S.?

The NPI number is 1689649386.

What is the phone number of Dr. Sushoreba?

The phone number listed for the practice location is (218) 666-5958.

Where is Dr. Sushoreba located?

20 5TH St SE, Cook, MN 55723-9702.

What is the taxonomy code for Dr. Sushoreba?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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