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DAKOTA CLINIC LTD. NPI 1740231182


NPI Information

NPI: 1740231182
Provider Name: DAKOTA CLINIC, LTD.

Doing Business As: DAKOTA CLINIC, LTD.

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
Get Directions

DAKOTA CLINIC, LTD. is an oral maxillofacial surgery in Fargo, ND. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DAKOTA CLINIC, LTD. NPI is 1740231182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dakota Clinic, Ltd..

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8990

The provider's authorized official is Larry G Solberg .
The authorized official title is Administrator-authorized Official and has the following contact phone number (701) 364-3405.

The enumeration date for this NPI number is 5/12/2006 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
1204E00000XOral & Maxillofacial SurgeryYes
2207L00000XAnesthesiologyX
3207P00000XEmergency MedicineX
4207Q00000XFamily MedicineX
5207R00000XInternal MedicineX
6207T00000XNeurological SurgeryX
7207V00000XObstetrics & GynecologyX
8207N00000XDermatologyX
9207W00000XOphthalmologyX
10207X00000XOrthopaedic SurgeryX
11207ZH0000XPathologyHematologyX
12208000000XPediatricsX
132084N0400XPsychiatry & NeurologyNeurologyX
142085R0202XRadiologyDiagnostic RadiologyX
15208600000XSurgeryX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110046MEDICAIDNORTH DAKOTA

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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