PARK RIVER DENTAL PC NPI 1174666119

NPI Information

  • NPI: 1174666119
  • Provider Name: PARK RIVER DENTAL, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PARK RIVER DENTAL
  • Address: 418 BRIGGS AVENUE
    PARK RIVER, ND
    ZIP 58270
  • Phone: (701) 284-6131

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NPI Details

PARK RIVER DENTAL, PC is a general practice dentist in Park River, 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. PARK RIVER DENTAL, PC NPI is 1174666119. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Park River Dental.

The provider's business location address is:

418 BRIGGS AVENUE
PARK RIVER, ND
ZIP 58270-662
Phone: (701) 284-6131

The provider's authorized official is Brian James Larson .
The authorized official title is Owner/dentist President and has the following contact phone number (701) 284-6131.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 6/3/2014.

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
11223G0001XDentistGeneral Practice1355NORTH DAKOTANo
21223G0001XDentistGeneral Practice1805NORTH 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: 11/21/2025

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