NPI 1629808308 · live from the CMS NPI Registry
Dentistryone Of North Dakota PC
Dentist, General Practice in Jamestown, ND. National Provider Identifier 1629808308, active.
NPI record
| NPI | 1629808308 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 218 1st Ave S, Jamestown, ND 58401 |
| Practice phone | 877-712-7875 |
| Mailing address | 20 Highland Ave, Metuchen, NJ 08840 |
| Enumerated | August 6, 2024 |
| Last updated | May 13, 2025 |
| Authorized official | Derek Weigand, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.