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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

NPI Number 1669917308
LBN Legal business name NORTHCREEK DENTAL PC
Authorized official MARK SCHAFFER - (OWER/DENTISH)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2017
Last updated 01/05/2017 - About 9 years ago
Identifiers n/a
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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