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Contact Information

JASON O DAHL, DDS
1119 SIMS ST
DICKINSON, ND58601
 Phone: 701-227-1193
 Fax: 701-225-1163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JASON O DAHL · (Male)

NPI # 1790859767
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/20/2006
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 1883
  • ND Medicaid 41275
  • ND Other 971883 BLUE CROSS BLUE SHIELD ND
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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