| 701 Dental PC | |
|
1110 College Dr Ste 108 Bismarck ND 58501-1207 | |
| (701) 255-0586 | |
| Not Available |
| Full Name | 701 Dental PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1110 College Dr Ste 108, Bismarck, North Dakota |
| Authorized Official Name and Position | Alexa Carlson (DMD) |
| Authorized Official Contact | 7012550586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 701 Dental PC 1110 College Dr Ste 108 Bismarck ND 58501-1207 Ph: (701) 255-0586 | 701 Dental PC 1110 College Dr Ste 108 Bismarck ND 58501-1207 Ph: (701) 255-0586 |
| NPI Number | 1578208872 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578208872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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