NPI 1396907416 · live from the CMS NPI Registry
John E Clayburgh, DDS
Dentist, General Practice in Grand Forks, ND. National Provider Identifier 1396907416, active.
NPI record
| NPI | 1396907416 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 667 Demers Ave, Grand Forks, ND 58201 |
| Practice phone | 701-772-8488 |
| Enumerated | June 30, 2008 |
| Last updated | June 30, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1688 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.