PINEHURST FAMILY DENTISTRY NPI 1023561123

NPI Information

NPI: 1023561123
Provider Name: PINEHURST FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1001 W INTERSTATE AVE
STE 132
BISMARCK, ND
ZIP 58503
Phone: (701) 223-1476
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PINEHURST FAMILY DENTISTRY is a dental clinic center in Bismarck, ND. PINEHURST FAMILY DENTISTRY NPI is 1023561123. The provider is registered as an organization entity type.

The provider's business location address is:

1001 W INTERSTATE AVE
STE 132
BISMARCK, ND
ZIP 58503-946
Phone: (701) 223-1476
Fax: (701) 223-4503

The provider's authorized official is Chris Neer .
The authorized official title is Manager and has the following contact phone number (701) 223-1476.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 7/26/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	1816	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1457770	MEDICAID	NORTH 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

NPI Synchronization or Removal

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