Provider Demographics
NPI:1487739975
Name:ALBRIGHT, KURT ANTHONY (DDS)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:ANTHONY
Last Name:ALBRIGHT
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 1:201 HILLESTAD AVE. NE
Mailing Address - Street 2:PO BOX 209
Mailing Address - City:FOSSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56542-0209
Mailing Address - Country:US
Mailing Address - Phone:218-435-1717
Mailing Address - Fax:218-435-6030
Practice Address - Street 1:201 HILLESTAD AVE. NE
Practice Address - Street 2:
Practice Address - City:FOSSTON
Practice Address - State:MN
Practice Address - Zip Code:56542
Practice Address - Country:US
Practice Address - Phone:218-435-1717
Practice Address - Fax:218-435-6030
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND103871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice