NPI 1558746271 · live from the CMS NPI Registry
Buntrock Detnal PC
Dentist in Williston, ND. National Provider Identifier 1558746271, active.
NPI record
| NPI | 1558746271 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2204 2nd Ave W, Suite 102, Williston, ND 58801 |
| Practice phone | 701-774-3333 |
| Enumerated | July 23, 2015 |
| Last updated | July 23, 2015 |
| Authorized official | Danelle Estrada, Practice Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 1726 (MN) |
| Dental Hygienist | 124Q00000X | 1543 (ND) |
| Dentist primary | 122300000X | 2170 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.