| DK Orthodontics | |
|
4401 Coleman St Suite 105 Bismarck ND 58503-1370 | |
| (701) 751-8444 | |
| Not Available |
| Full Name | DK Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4401 Coleman St, Bismarck, North Dakota |
| Authorized Official Name and Position | Daniel James Keith (ORTHODONTISTS - BUSINESS OWNER) |
| Authorized Official Contact | 7017518444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| DK Orthodontics 4401 Coleman St Suite 105 Bismarck ND 58503-1370 Ph: (701) 751-8444 | DK Orthodontics 4401 Coleman St Suite 105 Bismarck ND 58503-1370 Ph: (701) 751-8444 |
| NPI Number | 1245773233 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245773233 | NPI | - | NPPES |
| 1464024 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2082 (North Dakota) | Primary |
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