Provider Demographics
NPI:1407914849
Name:SAVORD, ERVIN GEORGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERVIN
Middle Name:GEORGE
Last Name:SAVORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 HIGHWAY 97
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:FOREST LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55025
Mailing Address - Country:US
Mailing Address - Phone:651-982-6575
Mailing Address - Fax:651-982-9266
Practice Address - Street 1:255 HIGHWAY 97
Practice Address - Street 2:SUITE 1B
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025
Practice Address - Country:US
Practice Address - Phone:651-982-6575
Practice Address - Fax:651-982-9266
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND7597122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist