NPI 1710159579 · live from the CMS NPI Registry
Jeremiah Kim Danel, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Grand Forks, ND. National Provider Identifier 1710159579, active.
NPI record
| NPI | 1710159579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2650 32nd Ave South, Grand Forks, ND 58201 |
| Practice phone | 701-775-0684 |
| Enumerated | April 1, 2008 |
| Last updated | April 6, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2043 (ND) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D12490 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.