| D. Michael Goebel D.D.S., PC | |
|
407 E Avenue C Bismarck ND 58501-3942 | |
| (701) 258-8509 | |
| Not Available |
| Full Name | D. Michael Goebel D.D.S., PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 407 E Avenue C, Bismarck, North Dakota |
| Authorized Official Name and Position | Donald Michael Goebel (PRESIDENT) |
| Authorized Official Contact | 7012588509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Michael Goebel D.D.S., PC 407 E Avenue C Bismarck ND 58501-3942 Ph: (701) 258-8509 | D. Michael Goebel D.D.S., PC 407 E Avenue C Bismarck ND 58501-3942 Ph: (701) 258-8509 |
| NPI Number | 1215107248 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215107248 | NPI | - | NPPES |
| 41027 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1767 (North Dakota) | Primary |
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