| Prairie Dental Inc | |
|
608 Highway 12 W Bowman ND 58623-4507 | |
| (701) 523-3255 | |
| (701) 523-5742 |
| Full Name | Prairie Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 608 Highway 12 W, Bowman, North Dakota |
| Authorized Official Name and Position | Jennifer Sarsland (DENTIST) |
| Authorized Official Contact | 7015233255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Dental Inc Po Box 710 Bowman ND 58623-0710 Ph: (701) 523-3255 | Prairie Dental Inc 608 Highway 12 W Bowman ND 58623-4507 Ph: (701) 523-3255 |
| NPI Number | 1942579081 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942579081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2101 (North Dakota) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
Bonnie J. Anderson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 1st Ave Sw, Box E, Bowman, ND 58623 Phone: 701-523-5651 | |
Dakota Dental Center, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 1st Ave Sw, Bowman, ND 58623 Phone: 701-523-5651 |