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HEARTLAND DENTAL NPI 1659399517


NPI Information

NPI: 1659399517
Provider Name: HEARTLAND DENTAL

Doing Business As: EVERGREEN DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1213 19TH AVE N
FARGO, ND
ZIP 58102
Phone: (701) 237-6307
Get Directions

HEARTLAND DENTAL is a general practice dentist in Fargo, ND. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HEARTLAND DENTAL NPI is 1659399517. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Evergreen Dental.

The provider's business location address is:

1213 19TH AVE N
FARGO, ND
ZIP 58102-242
Phone: (701) 237-6307

The provider's authorized official is Casey Dean Fines .
The authorized official title is Owner/dentist and has the following contact phone number (701) 237-6307.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/21/2022.


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
11223G0001XDentistGeneral Practice1949NORTH 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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