NPI 1144874108 · live from the CMS NPI Registry
Sarah Ruth Cavanaugh
Dentist in Fort Totten, ND. National Provider Identifier 1144874108, active.
NPI record
| NPI | 1144874108 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 3883 74th Ave Ne, Fort Totten, ND 58335 |
| Practice phone | 701-766-1615 |
| Mailing address | Po Box 23, Saint Michael, ND 58370 |
| Enumerated | July 29, 2019 |
| Last updated | July 29, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Dental Public Health | 1223D0001X | 2385 (ND) |
| Dentist, General Practice | 1223G0001X | 2385 (ND) |
| Dentist primary | 122300000X | 2385 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.