Healthcare Provider Details

I. General information

NPI: 1851235014
Provider Name (Legal Business Name): FLOSS DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 MILLER TRUNK HWY STE 100
DULUTH MN
55811-5628
US

IV. Provider business mailing address

1405 MILLER TRUNK HWY STE 100
DULUTH MN
55811-5628
US

V. Phone/Fax

Practice location:
  • Phone: 218-724-8227
  • Fax:
Mailing address:
  • Phone: 218-724-8227
  • Fax: 218-464-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL LARSCHEID
Title or Position: OWNER
Credential:
Phone: 218-724-8227