NPI 1558034777 · live from the CMS NPI Registry
Bismarck Dentistry PC
Dentist in Dickinson, ND. National Provider Identifier 1558034777, active.
NPI record
| NPI | 1558034777 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 620 19th St W Ste 200, Dickinson, ND 58601 |
| Practice phone | 701-502-0060 |
| Mailing address | 4401 Coleman St Ste 104, Bismarck, ND 58503 |
| Enumerated | July 26, 2021 |
| Last updated | July 26, 2021 |
| Authorized official | Daniel Van Buskirk, Owner |
| Other names | Plaza Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.