NPI 1669631859 · live from the CMS NPI Registry
Nicholas Ryan Bakkum, D.D.S.
Dentist, General Practice in Hazen, ND. National Provider Identifier 1669631859, active.
NPI record
| NPI | 1669631859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 204 2nd Ave Ne, Hazen, ND 58545 |
| Practice phone | 701-748-2730 |
| Enumerated | June 3, 2008 |
| Last updated | June 3, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2018 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.