Selle Family Dental, Pc | |
1560 Western Dr Dickinson ND 58601-3155 | |
(701) 483-9801 | |
(701) 483-9803 |
Full Name | Selle Family Dental, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1560 Western Dr, Dickinson, North Dakota |
Authorized Official Name and Position | Shannon Selle (VICE PRESIDENT) |
Authorized Official Contact | 7014839801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Selle Family Dental, Pc 1560 Western Dr Dickinson ND 58601-3155 Ph: (701) 483-9801 | Selle Family Dental, Pc 1560 Western Dr Dickinson ND 58601-3155 Ph: (701) 483-9801 |
NPI Number | 1932361524 |
---|---|
Provider Enumeration Date | 06/26/2008 |
Last Update Date | 05/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932361524 | NPI | - | NPPES |
41362 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1914 (North Dakota) | Primary |
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