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NORTHCREEK DENTAL PC NPI 1467524496


NPI Information

NPI: 1467524496
Provider Name: NORTHCREEK DENTAL PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
100 S 4TH ST
STE 312
FARGO, ND
ZIP 58103
Phone: (701) 232-2409
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NORTHCREEK DENTAL PC is an endodontics dentist in Fargo, ND. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NORTHCREEK DENTAL PC NPI is 1467524496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 S 4TH ST
STE 312
FARGO, ND
ZIP 58103
Phone: (701) 232-2409
Fax: (701) 232-2563

The provider's authorized official is Mark A Schaffer .
The authorized official title is Owner Dentist and has the following contact phone number (701) 232-2409.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics1893NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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