NPI 1114308285 · live from the CMS NPI Registry
Advanced Dental Technologies Center
Dentist in Fargo, ND. National Provider Identifier 1114308285, active.
NPI record
| NPI | 1114308285 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 827 28th St S Ste A, Fargo, ND 58103 |
| Practice phone | 701-280-1020 |
| Enumerated | June 15, 2015 |
| Last updated | June 15, 2015 |
| Authorized official | David Brant, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1617 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.