MISSOURI RIVER DENTAL PC NPI 1992117501

NPI Information

MISSOURI RIVER DENTAL, PC is a general practice dentist in Bismarck, 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. MISSOURI RIVER DENTAL, PC NPI is 1992117501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 SKYLINE BLVD
SUITE 210
BISMARCK, ND
ZIP 58503-299
Phone: (701) 751-7177
Fax: (701) 751-7178

The provider's authorized official is Timothy Alworth Anderson .
The authorized official title is President and has the following contact phone number (612) 619-0917.

The enumeration date for this NPI number is 5/30/2014 and was last updated on 5/30/2014.

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:

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