NPI 1972732311 · live from the CMS NPI Registry
Steven Michael Diekman, D.D.S.
Dentist in West Fargo, ND. National Provider Identifier 1972732311, active.
NPI record
| NPI | 1972732311 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1042 14th Avenue East, Suite 203, West Fargo, ND 58078 |
| Practice phone | 701-281-1937 |
| Enumerated | July 7, 2009 |
| Last updated | July 7, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 1656 (ND) |
| Dentist | 122300000X | 8995 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.