| Prestwich Orthodontics | |
|
1015 S Broadway Suite 17 Minot ND 58701-4667 | |
| (701) 852-2646 | |
| Not Available |
| Full Name | Prestwich Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1015 S Broadway, Minot, North Dakota |
| Authorized Official Name and Position | Tyler C Prestwich (OWNER) |
| Authorized Official Contact | 7018522646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestwich Orthodontics 1015 S Broadway Suite 17 Minot ND 58701-4667 Ph: (701) 852-2646 | Prestwich Orthodontics 1015 S Broadway Suite 17 Minot ND 58701-4667 Ph: (701) 852-2646 |
| NPI Number | 1124492327 |
|---|---|
| Provider Enumeration Date | 11/25/2015 |
| Last Update Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124492327 | NPI | - | NPPES |
| 1465830 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2271 (North Dakota) | Primary |
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