| Jesperson Orthodontics | |
|
531 S 7th St Bismarck ND 58504-5859 | |
| (701) 224-1558 | |
| (701) 224-1093 |
| Full Name | Jesperson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 531 S 7th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Brian R Jesperson (ORTHODONTIST) |
| Authorized Official Contact | 7012241558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesperson Orthodontics 531 S 7th St Bismarck ND 58504-5859 Ph: (701) 224-1558 | Jesperson Orthodontics 531 S 7th St Bismarck ND 58504-5859 Ph: (701) 224-1558 |
| NPI Number | 1760621387 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760621387 | NPI | - | NPPES |
| 1634 | Other | ND | DSC |
| 40839 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1634 (North Dakota) | Primary |
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