DR. BRENT JONATHON SELLE DDS NPI 1184629651

NPI Information

NPI: 1184629651
Provider Name: DR. BRENT JONATHON SELLE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1560 WESTERN DR
DICKINSON, ND
ZIP 58601
Phone: (701) 483-9801
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DR. Brent Jonathon Selle, DDS is a general practice dentist in Dickinson, 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. DR. Brent Jonathon Selle, DDS NPI is 1184629651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1560 WESTERN DR
DICKINSON, ND
ZIP 58601-155
Phone: (701) 483-9801
Fax: (701) 483-9803

The enumeration date for this NPI number is 6/20/2005 and was last updated on 5/11/2009.

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	1223G0001X	Dentist	General Practice	1914	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	01345827	OTHER	NORTH DAKOTA	TRICARE DENTAL INSURANCE
2	V01914	OTHER	TEXAS	TEXAS BLUE CROSS BLUE SHI
3	901914	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
4	41288	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: 11/14/2023

NPI Synchronization or Removal

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