NPI 1639336316 · live from the CMS NPI Registry
Cornerstone Dental Group LLC
Dentist, General Practice in Fargo, ND. National Provider Identifier 1639336316, active.
NPI record
| NPI | 1639336316 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1815 University Dr S, Suite #3, Fargo, ND 58103 |
| Practice phone | 701-237-3583 |
| Enumerated | May 20, 2008 |
| Last updated | May 20, 2008 |
| Authorized official | Byrum Cartwright, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.