Dakota Pediatric Dentistry in Fargo - Pediatric Dentistry
Dakota Pediatric Dentistry - NPI 1487824991
Dakota Pediatric Dentistry is a Pediatric Dentistry in Fargo, North Dakota. Dakota Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dakota Pediatric Dentistry is 1487824991. The last update date is 2009-04-15.
Dakota Pediatric Dentistry's current location address is 4265 45th St S Ste 202, Fargo, North Dakota. You can contact this provider via phone number 7014785439 and fax number 7013645440. The mailing address for Dakota Pediatric Dentistry is 4265 45th St S Ste 202, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dakota Pediatric Dentistry |
|---|---|
| Address | 4265 45th St S Ste 202, Fargo, North Dakota |
| Phone Number | 7014785439 |
| Fax Number | 7013645440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Hoge James Chad |
| Credentials | DDS |
| Telephone Number | 7014785439 |
NPI Number Detail
| NPI Number | 1487824991 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2009-04-15 |
Provider Mailing Address Detail
| Address | 4265 45th St S Ste 202 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581044309 |
| Phone Number | 7014785439 |
| Fax Number | 7013645440 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2000 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identification code assigned to Dakota Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Dakota Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1487824991. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dakota Pediatric Dentistry?
The Dakota Pediatric Dentistry is situated at 4265 45Th St S Ste 202, in the city of Fargo, state of ND, with the zip code 581044309.
What is the Dakota Pediatric Dentistry's area of specialization and corresponding taxonomy classification?
The Dakota Pediatric Dentistry's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487824991 to Dakota Pediatric Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1487824991 to Dakota Pediatric Dentistry on 2008-03-11.
As of what date were the Dakota Pediatric Dentistry's details last updated?
The information pertaining to the Dakota Pediatric Dentistry, including its address, specialty, and other details, was most recently updated on 2009-04-15.