Provider Demographics
NPI:1326293911
Name:ALBRIGHT DENTAL INC
Entity Type:Organization
Organization Name:ALBRIGHT DENTAL INC
Other - Org Name:FOSSTON FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:218-435-1717
Mailing Address - Street 1:201 HILLESTAD AVE N
Mailing Address - Street 2:
Mailing Address - City:FOSSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56542
Mailing Address - Country:US
Mailing Address - Phone:218-435-1717
Mailing Address - Fax:218-435-6030
Practice Address - Street 1:201 HILLESTAD AVE N
Practice Address - Street 2:
Practice Address - City:FOSSTON
Practice Address - State:MN
Practice Address - Zip Code:56542-1339
Practice Address - Country:US
Practice Address - Phone:218-435-1717
Practice Address - Fax:218-435-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty