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Contact Information

PEDIATRIC DENTISTRY LTD
1205 16TH AVE SOUTH
FARGO, ND58103
 Phone: 701-293-6999
 Fax: 701-235-2297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for PEDIATRIC DENTISTRY LTD

NPI Number 1619084084
LBN Legal business name PEDIATRIC DENTISTRY LTD
Authorized official WILLIAM HUNTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND License # 1406
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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