| Carl A. Trout, Dds, Pc | |
|
2538 University Dr S Suite A Fargo ND 58103-5714 | |
| (170) 123-2114 | |
| Not Available |
| Full Name | Carl A. Trout, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2538 University Dr S, Fargo, North Dakota |
| Authorized Official Name and Position | Carl Andrew Trout (PEDIATRIC DENTIST) |
| Authorized Official Contact | 17012321148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl A. Trout, Dds, Pc 2538 University Dr S Suite A Fargo ND 58103-5714 Ph: (170) 123-2114 | Carl A. Trout, Dds, Pc 2538 University Dr S Suite A Fargo ND 58103-5714 Ph: (170) 123-2114 |
| NPI Number | 1568873032 |
|---|---|
| Provider Enumeration Date | 05/18/2014 |
| Last Update Date | 05/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568873032 | NPI | - | NPPES |
| 000040116 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2168 (North Dakota) | Primary |
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