NPI 1225443310 · live from the CMS NPI Registry
Dakota Dental Care
Dentist in Ellendale, ND. National Provider Identifier 1225443310, active.
NPI record
| NPI | 1225443310 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 210 Main Street, Ellendale, ND 58436 |
| Practice phone | 701-349-3636 |
| Mailing address | Po Box 310, Ellendale, ND 58436 |
| Enumerated | June 26, 2014 |
| Last updated | December 8, 2014 |
| Authorized official | Caleb Johnsen, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 1770 (ND) |
| Dentist primary | 122300000X | 2229 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.