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Contact Information

MARTIN BELANGER
1720 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-280-4150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for MARTIN BELANGER · (Male)

NPI # 1720241615
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2008
Last updated 12/29/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 57097
  • MN License # D12849
  • ND License # 2085
  • MN Medicaid 1720241615
  • ND Medicaid 41543
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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