Dakota Dental Care | |
210 Main Street Ellendale ND 58436 | |
(701) 349-3636 | |
Not Available |
Full Name | Dakota Dental Care |
---|---|
Speciality | Dentist |
Location | 210 Main Street, Ellendale, North Dakota |
Authorized Official Name and Position | Caleb Johnsen (DENTIST) |
Authorized Official Contact | 7013493636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dakota Dental Care Po Box 310 Ellendale ND 58436-0310 Ph: () - | Dakota Dental Care 210 Main Street Ellendale ND 58436 Ph: (701) 349-3636 |
NPI Number | 1225443310 |
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Provider Enumeration Date | 06/26/2014 |
Last Update Date | 12/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225443310 | NPI | - | NPPES |
040501 | Medicaid | ND | |
7850030 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1770 (North Dakota) | Secondary |
122300000X | Dentist | 2229 (North Dakota) | Primary |
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› Verified 1 days ago
Dakota Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Main St, Ellendale, ND 58436 Phone: 701-349-3636 Fax: 701-349-2137 |