DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHERN LIGHTS DENTAL

Active Organization

NORTHERN LIGHTS DENTAL is a Dentist organization located in FARGO, North Dakota. NPI 1790297430 is currently active in the NPPES registry. Verify at CMS.

Dentist · FARGO, ND

Registration Details

NPI Number
1790297430
Provider Type
Organization
NPI Issued
Nov 3, 2017 (8.7872482423795 yrs)
Last Updated
Nov 3, 2017
License
2162 (ND)

Practice Information

Address
4150 19TH AVE S
SUITE 301
FARGO, ND, 58104
Browse ND providers · Browse ZIP 58104
Phone
7015512000
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.