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Contact Information

NORTHCREEK DENTAL PC
19 WILEY AVE
LIDGEWOOD, ND58053
 Phone: 701-538-4583
 Fax: 701-538-4560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NORTHCREEK DENTAL PC · (Female)

NPI Number 1669917308
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2017
Last updated 01/05/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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