Agassiz Dental Associates, Pc | |
1200 Roberts Ave Ne Cooperstown ND 58425 | |
(701) 797-2641 | |
Not Available |
Full Name | Agassiz Dental Associates, Pc |
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Speciality | Dentist |
Location | 1200 Roberts Ave Ne, Cooperstown, North Dakota |
Authorized Official Name and Position | Melanie J. Hoyt (RECEPTIONIST/OFFICE MANAGER) |
Authorized Official Contact | 7017972641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Agassiz Dental Associates, Pc P.o. Box 569 Cooperstown ND 58425 Ph: (701) 797-2641 | Agassiz Dental Associates, Pc 1200 Roberts Ave Ne Cooperstown ND 58425 Ph: (701) 797-2641 |
NPI Number | 1184716045 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 04/23/2009 |
Identifier | Type | State | Issuer |
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1184716045 | NPI | - | NPPES |
40303 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 1415 (North Dakota) | Primary |