NPI 1205042439 · live from the CMS NPI Registry
Nathan Michael Deeter, DDS
Dentist, General Practice in Bismarck, ND. National Provider Identifier 1205042439, active.
NPI record
| NPI | 1205042439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1003 Gateway Ave, Bismarck, ND 58503 |
| Practice phone | 701-222-1800 |
| Mailing address | 2004 Grimsrud Dr, Bismarck, ND 58501 |
| Enumerated | May 15, 2007 |
| Last updated | July 21, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2013 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.