Great Northern Dental Care | |
667 Demers Ave Ste 1002 Grand Forks ND 58201-4500 | |
(701) 772-8488 | |
Not Available |
Full Name | Great Northern Dental Care |
---|---|
Speciality | Clinic/center |
Location | 667 Demers Ave Ste 1002, Grand Forks, North Dakota |
Authorized Official Name and Position | John Clayburgh (DOCTOR) |
Authorized Official Contact | 7017728488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Northern Dental Care 667 Demers Ave, Ste 1002 Grand Forks ND 58201 Ph: (701) 772-8488 | Great Northern Dental Care 667 Demers Ave Ste 1002 Grand Forks ND 58201-4500 Ph: (701) 772-8488 |
NPI Number | 1356715841 |
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Provider Enumeration Date | 11/20/2015 |
Last Update Date | 11/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356715841 | NPI | - | NPPES |
1456616 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1688 (North Dakota) | Primary |
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