| Advantage Dental | |
|
4302 13th Ave S Fargo ND 58103-3395 | |
| (208) 284-0054 | |
| Not Available |
| Full Name | Advantage Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4302 13th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | James R Weaver (PRESIDENT) |
| Authorized Official Contact | 2082840054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental 3974 Bell Ct Nampa ID 83686-1411 Ph: (208) 284-0054 | Advantage Dental 4302 13th Ave S Fargo ND 58103-3395 Ph: (208) 284-0054 |
| NPI Number | 1992948590 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992948590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2129 (North Dakota) | Primary |
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