| Prairie Oral Surgery Ltd | |
|
2585 23rd Ave S Ste A. Fargo ND 58103 | |
| (701) 478-4404 | |
| (701) 478-4407 |
| Full Name | Prairie Oral Surgery Ltd |
|---|---|
| Speciality | Dentist |
| Location | 2585 23rd Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Beth Marie Jaroszewski (FINANCE COORDINATOR) |
| Authorized Official Contact | 7014784404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Oral Surgery Ltd 2585 23rd Ave S Ste. A. Fargo ND 58104 Ph: (701) 478-4404 | Prairie Oral Surgery Ltd 2585 23rd Ave S Ste A. Fargo ND 58103 Ph: (701) 478-4404 |
| NPI Number | 1598763120 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4688661309 |
|---|---|
| Medicare Enrollment ID | O20040426001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598763120 | NPI | - | NPPES |
| 41305 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (North Dakota) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ryan James Smart |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386849446 PECOS PAC ID: 2264695279 Enrollment ID: I20150729007956 |
Paul A. Fredrikson, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 25th St S, Suite 1, Fargo, ND 58103 Phone: 701-280-0088 Fax: 701-293-5602 | |
Gary Cornforth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2534 University Dr S, Suite #6, Fargo, ND 58103 Phone: 701-232-1500 Fax: 701-293-6969 | |
Candid North Dakota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Broadway N, Fargo, ND 58102 Phone: 860-481-7631 | |
Family Health Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3332 Fax: 701-271-3349 | |
Saving Smiles Denistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 18th St S Ste B, Fargo, ND 58104 Phone: 701-237-4297 Fax: 701-237-2223 | |
Peace Garden Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1383 21st Ave N Ste B, Fargo, ND 58102 Phone: 701-515-4901 Fax: 701-515-4902 | |
James H Lancaster Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Harwood Dr, Fargo, ND 58104 Phone: 701-232-1781 Fax: 701-232-1782 |