NPI 1124405030 · live from the CMS NPI Registry
Downtown Dental Gp
Dentist in Jamestown, ND. National Provider Identifier 1124405030, active.
NPI record
| NPI | 1124405030 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 815 1st Ave S, Jamestown, ND 58401 |
| Practice phone | 701-251-2240 |
| Enumerated | April 29, 2015 |
| Last updated | April 29, 2015 |
| Authorized official | Kenneth Mcdougall, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1668 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.