Souris Valley Dental Group in Minot - General Practice

Souris Valley Dental Group - NPI 1861497430

Souris Valley Dental Group is a General Practice in Minot, North Dakota. Souris Valley Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Souris Valley Dental Group is 1861497430. The last update date is 2015-06-12.

Souris Valley Dental Group's current location address is 1300 37th Ave Sw, Minot, North Dakota. You can contact this provider via phone number 7018525595 and fax number 7018522669. The mailing address for Souris Valley Dental Group is 1300 37th Ave Sw, Minot, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Souris Valley Dental Group
Address 1300 37th Ave Sw, Minot, North Dakota
Phone Number 7018525595
Fax Number 7018522669
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hildahl A Mark
Credentials DDS
Telephone Number 7018525595

NPI Number Detail

NPI Number 1861497430
Provider Enumeration Date 2005-06-20
Last Updated Date 2015-06-12

Provider Mailing Address Detail

Address 1300 37th Ave Sw
City Minot
State North Dakota (ND)
Post Code 5870172400
Phone Number 7018525595
Fax Number 7018522669

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1573
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41311 ND --
980706 ND UNITED CONCORDIA

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FAQs about Souris Valley Dental Group

What is the unique 10-digit identifier code issued to Souris Valley Dental Group by the Centers for Medicare & Medicaid Services?

The Souris Valley Dental Group has been assigned the NPI (National Provider Identifier) 1861497430 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Souris Valley Dental Group is geographically located?

The Souris Valley Dental Group is physically situated at the following location: 1300 37Th Ave Sw, Minot, ND, 5870172400.

What is the Souris Valley Dental Group's specialty and taxonomy code?

The Souris Valley Dental Group's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Souris Valley Dental Group receive its 1861497430 assignment from the Centers for Medicare & Medicaid Services?

The Souris Valley Dental Group was assigned its 1861497430 on 2005-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Souris Valley Dental Group most recently updated?

The details pertaining to the Souris Valley Dental Group, including its address, specialty, and other relevant information, were last refreshed on 2015-06-12.

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