| Spirit Lake Tribe | |
|
3883 74th Ave Ne Fort Totten ND 58335 | |
| (701) 766-1600 | |
| (701) 766-1630 |
| Full Name | Spirit Lake Tribe |
|---|---|
| Speciality | Dentist |
| Location | 3883 74th Ave Ne, Fort Totten, North Dakota |
| Authorized Official Name and Position | Michelle Belt (CEO) |
| Authorized Official Contact | 7017661600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Lake Tribe Po Box 309 Fort Totten ND 58335-0309 Ph: (701) 766-1600 | Spirit Lake Tribe 3883 74th Ave Ne Fort Totten ND 58335 Ph: (701) 766-1600 |
| NPI Number | 1508317090 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508317090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |