Stephen Mark Medin, D.D.S.

Dentist · Willmar, MN

Individual Active NPI

NPI number 1801969803

Practice location

509 16TH Ave SW
Willmar, MN 56201-4118
Phone
(320) 235-7742
Fax
(320) 235-4045

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NPI record

NPI
1801969803
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
June 6, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8655 MN

About Dr. Medin

Stephen Mark Medin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 509 16TH Ave SW, Willmar, MN 56201-4118. The NPI number 1801969803 was assigned on November 16, 2006 and the record was last updated on June 6, 2012.

Dr. Medin lists a license in the registry: #8655 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Mark Medin, D.D.S.?

The NPI number is 1801969803.

What is the phone number of Dr. Medin?

The phone number listed for the practice location is (320) 235-7742.

Where is Dr. Medin located?

509 16TH Ave SW, Willmar, MN 56201-4118.

What is the taxonomy code for Dr. Medin?

The primary taxonomy code is 122300000X – Dentist.

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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