NPI 1972039097 · live from the CMS NPI Registry
Scott M Amundson, DDS
Dentist, General Practice in Grand Forks, ND. National Provider Identifier 1972039097, active.
NPI record
| NPI | 1972039097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 212 S 4th St Ste 101, Grand Forks, ND 58201 |
| Practice phone | 701-757-2100 |
| Mailing address | 2600 Demers Ave, Ste. 107, Grand Forks, ND 58201 |
| Enumerated | May 10, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2306 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.