| Bridging The Dental Gap Inc | |
|
1223 S 12th St Ste 1 Bismarck ND 58504 | |
| (701) 221-0518 | |
| (701) 221-0537 |
| Full Name | Bridging The Dental Gap Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1223 S 12th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Marcia A Olson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7012210518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging The Dental Gap Inc 1223 S 12th St Ste 1 Bridging The Dental Gap Inc Bismarck ND 58504 Ph: (701) 221-0518 | Bridging The Dental Gap Inc 1223 S 12th St Ste 1 Bismarck ND 58504 Ph: (701) 221-0518 |
| NPI Number | 1649338377 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649338377 | NPI | - | NPPES |
| 41340 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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