AMUNDSON DENTAL ASSOCIATES NPI 1215465372

NPI Information

NPI: 1215465372
Provider Name: AMUNDSON DENTAL ASSOCIATES
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2600 DEMERS AVE STE 107
GRAND FORKS, ND
ZIP 58201
Phone: (701) 772-0171
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AMUNDSON DENTAL ASSOCIATES is a dental clinic center in Grand Forks, ND. AMUNDSON DENTAL ASSOCIATES NPI is 1215465372. The provider is registered as an organization entity type.

The provider's business location address is:

2600 DEMERS AVE STE 107
GRAND FORKS, ND
ZIP 58201-100
Phone: (701) 772-0171
Fax: (701) 772-3138

The provider's authorized official is Kimberly J Amundson .
The authorized official title is Office Manager and has the following contact phone number (701) 772-0171.

The enumeration date for this NPI number is 6/1/2017 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	1781	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	1437228095	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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