NPI 1679622039 · live from the CMS NPI Registry
Brad Douglas Bekkedahl, DDS
Dentist, General Practice in Williston, ND. National Provider Identifier 1679622039, active.
NPI record
| NPI | 1679622039 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2204 2nd Ave W, Suite 102, Williston, ND 58801 |
| Practice phone | 701-774-3333 |
| Enumerated | January 8, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1726 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.