| Amundson Dental Associates | |
|
2600 Demers Ave Ste 107 Grand Forks ND 58201-4100 | |
| (701) 772-0171 | |
| (701) 772-3138 |
| Full Name | Amundson Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2600 Demers Ave Ste 107, Grand Forks, North Dakota |
| Authorized Official Name and Position | Kimberly J Amundson (OFFICE MANAGER) |
| Authorized Official Contact | 7017720171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amundson Dental Associates 2600 Demers Ave Ste 107 Grand Forks ND 58201-4100 Ph: (701) 772-0171 | Amundson Dental Associates 2600 Demers Ave Ste 107 Grand Forks ND 58201-4100 Ph: (701) 772-0171 |
| NPI Number | 1215465372 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215465372 | NPI | - | NPPES |
| 1437228095 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1781 (North Dakota) | Primary |
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