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NORTHCREEK DENTAL PC NPI 1669917308


NPI Information

NPI: 1669917308
Provider Name: NORTHCREEK DENTAL PC

Doing Business As: LIDGERWOOD DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
19 WILEY AVE
LIDGEWOOD, ND
ZIP 58053
Phone: (701) 538-4583
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NORTHCREEK DENTAL PC is a general practice dentist in Lidgewood, 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. NORTHCREEK DENTAL PC NPI is 1669917308. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lidgerwood Dental.

The provider's business location address is:

19 WILEY AVE
LIDGEWOOD, ND
ZIP 58053
Phone: (701) 538-4583
Fax: (701) 538-4560

The provider's authorized official is Mark Schaffer .
The authorized official title is Ower/dentish and has the following contact phone number (701) 242-7140.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.


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 PracticeNORTH 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: 5/5/2024

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