| Agassiz Dental Associates, Pc | |
|
1200 Roberts Ave Ne Cooperstown ND 58425 | |
| (701) 797-2641 | |
| Not Available |
| Full Name | Agassiz Dental Associates, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1200 Roberts Ave Ne, Cooperstown, North Dakota |
| Authorized Official Name and Position | Melanie J. Hoyt (RECEPTIONIST/OFFICE MANAGER) |
| Authorized Official Contact | 7017972641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agassiz Dental Associates, Pc P.o. Box 569 Cooperstown ND 58425 Ph: (701) 797-2641 | Agassiz Dental Associates, Pc 1200 Roberts Ave Ne Cooperstown ND 58425 Ph: (701) 797-2641 |
| NPI Number | 1184716045 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184716045 | NPI | - | NPPES |
| 40303 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1415 (North Dakota) | Primary |
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