NPI 1740430198 · live from the CMS NPI Registry
Dakota Smiles, PLLC
Dentist, General Practice in Fargo, ND. National Provider Identifier 1740430198, active.
NPI record
| NPI | 1740430198 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3170 44th St S Ste 100, Fargo, ND 58104 |
| Practice phone | 701-235-2860 |
| Enumerated | September 23, 2008 |
| Last updated | June 18, 2021 |
| Authorized official | Charles Duchsherer, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Dental | 261QD0000X | 2038 (ND) |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.