DR KENNETH MCDOUGALL PC NPI 1366774994

NPI Information

NPI: 1366774994
Provider Name: DR KENNETH MCDOUGALL PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
815 1ST AVE S
JAMESTOWN, ND
ZIP 58401
Phone: (701) 251-2240
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DR KENNETH MCDOUGALL PC is a dental clinic center in Jamestown, ND. DR KENNETH MCDOUGALL PC NPI is 1366774994. The provider is registered as an organization entity type.

The provider's business location address is:

815 1ST AVE S
JAMESTOWN, ND
ZIP 58401-746
Phone: (701) 251-2240
Fax: (701) 952-9487

The provider's authorized official is Kenneth Dale Mcdougall .
The authorized official title is President and has the following contact phone number (701) 251-2240.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 2/23/2010.

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	1668	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	41522	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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