| James River Dentistry, P.c. | |
|
120 1st St S New Rockford ND 58356-1903 | |
| (701) 947-2354 | |
| (701) 947-2356 |
| Full Name | James River Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 1st St S, New Rockford, North Dakota |
| Authorized Official Name and Position | Robert F W Cudworth (PARTNER) |
| Authorized Official Contact | 7019472354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James River Dentistry, P.c. 120 1st St S New Rockford ND 58356-1903 Ph: (701) 947-2354 | James River Dentistry, P.c. 120 1st St S New Rockford ND 58356-1903 Ph: (701) 947-2354 |
| NPI Number | 1588876759 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588876759 | NPI | - | NPPES |
| 41346 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |