NPI 1801181235 · live from the CMS NPI Registry
Jeremy Seth Badger, DDS
Dentist in Grand Forks, ND. National Provider Identifier 1801181235, active.
NPI record
| NPI | 1801181235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1197 S Columbia Rd, Suite A, Grand Forks, ND 58201 |
| Practice phone | 701-775-4751 |
| Enumerated | June 14, 2011 |
| Last updated | June 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 2107 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.