LIFETIME DENTAL PARTNERS, PLLC; NPI #1669880845

Contact Information

LIFETIME DENTAL PARTNERS, PLLC

321 BRIGGS AVE S
SUITE 3
PARK RIVER, ND 58270

Phone: 701-284-7777
Fax: 701-284-6776
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for LIFETIME DENTAL PARTNERS, PLLC

NPI # 1669880845

LBN Legal business name LIFETIME DENTAL PARTNERS, PLLC

Authorized official ROBERTA EKMAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/31/2014

Last updated 01/11/2024 - About 2 years ago

Identifiers

ND	License #	1904
ND	Medicaid	1458306

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFETIME DENTAL PARTNERS, PLLC

Contact Information

Specialty

Dental

NPI Profile & details for LIFETIME DENTAL PARTNERS, PLLC

Reviews for LIFETIME DENTAL PARTNERS, PLLC