Healthcare Provider Details

I. General information

NPI: 1285550343
Provider Name (Legal Business Name): COURTNEY FELGER DT, LDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6980 FAIRVIEW RD
BAXTER MN
56425-7836
US

IV. Provider business mailing address

6980 FAIRVIEW RD
BAXTER MN
56425-7836
US

V. Phone/Fax

Practice location:
  • Phone: 218-454-7000
  • Fax:
Mailing address:
  • Phone: 218-454-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberH11714
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code125J00000X
TaxonomyDental Therapist
License NumberDT200
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: