NPI 1063628592 · live from the CMS NPI Registry
Daniel Dean Axvig, DDS
Dentist, General Practice in Bismarck, ND. National Provider Identifier 1063628592, active.
NPI record
| NPI | 1063628592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 301 E Front Ave Ste 105, Bismarck, ND 58504 |
| Practice phone | 701-223-5500 |
| Enumerated | May 14, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1689 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.