NPI 1013979236 · live from the CMS NPI Registry
Matthew K Deeter, DDS
Dentist, General Practice in Bismarck, ND. National Provider Identifier 1013979236, active.
NPI record
| NPI | 1013979236 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1003 Gateway Ave, Bismarck, ND 58503 |
| Practice phone | 701-222-1800 |
| Enumerated | April 4, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1944 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.