NPI 1184716045 · live from the CMS NPI Registry
Agassiz Dental Associates, PC
Dentist in Cooperstown, ND. National Provider Identifier 1184716045, active.
NPI record
| NPI | 1184716045 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1200 Roberts Ave Ne, Cooperstown, ND 58425 |
| Practice phone | 701-797-2641 |
| Mailing address | P.O. Box 569, Cooperstown, ND 58425 |
| Enumerated | September 29, 2006 |
| Last updated | April 23, 2009 |
| Authorized official | Melanie Hoyt, Receptionist/Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1415 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.