GREAT LAKES CHILDRENS DENTAL CARE PA
NPI 1790795821
Dentist - Dental Public Health in Duluth, MN
NPI Status: Active since August 09, 2006
Contact Information
2710 PIEDMONT AVENUE
DULUTH, MN
ZIP 55811
Phone: (218) 525-5100
Fax: (218) 722-3883
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Dentist
- Dental Public Health
About GREAT LAKES CHILDRENS DENTAL CARE PA
This page provides the complete NPI Profile along with additional information for Great Lakes Childrens Dental Care Pa, a provider established in Duluth, Minnesota operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1790795821 assigned on August 2006. The practitioner's primary taxonomy code is 1223D0001X with license number D11559 (MN). The provider is registered as an organization and their NPI record was last updated September 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Rami M Guirguis Dds Ms (Owner)
- NPI
- 1790795821
- Provider Name
- GREAT LAKES CHILDRENS DENTAL CARE PA
- Entity Type
- Organization
- Location Address
- 2710 PIEDMONT AVENUE DULUTH, MN 55811
- Location Phone
- (218) 525-5100
- Location Fax
- (218) 722-3883
- Mailing Address
- 2710 PIEDMONT AVENUE DULUTH, MN 55811
- Mailing Phone
- (218) 525-5100
- Mailing Fax
- (218) 722-3883
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2006
- Last Update Date
- 09-11-2025
- Code Navigator
A dentist like Great Lakes Childrens Dental Care Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Dental Public Health
- Taxonomy Code
- 1223D0001X
- Type
- Dental Providers
- License No.
- D11559
- License State
- MN
- Taxonomy Description
- The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223P0221X | Dental Providers | Dentist | D10919 (MN) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 9 | 5 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 9 | 10 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 0 + 8 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1790795821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790795821, enumerated in the NPI registry as an "organization" on August 09, 2006
The provider is located at 2710 Piedmont Avenue Duluth, Mn 55811 and the phone number is (218) 525-5100
This medical organization specializes in Dentist with taxonomy code 1223D0001X with a focus in Dental Public Health
This NPI record was last updated on August 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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