Concept Dentistry, Pc | |
5675 26th Ave S Suite 116 Fargo ND 58104-8598 | |
(701) 532-2500 | |
Not Available |
Full Name | Concept Dentistry, Pc |
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Speciality | Clinic/center - Dental |
Location | 5675 26th Ave S, Fargo, North Dakota |
Authorized Official Name and Position | Brian Bulik (CEO) |
Authorized Official Contact | 7015322500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Concept Dentistry, Pc 5675 26th Ave S Suite 116 Fargo ND 58104-8598 Ph: (701) 532-2500 | Concept Dentistry, Pc 5675 26th Ave S Suite 116 Fargo ND 58104-8598 Ph: (701) 532-2500 |
NPI Number | 1528455813 |
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Provider Enumeration Date | 04/24/2015 |
Last Update Date | 03/31/2021 |
Identifier | Type | State | Issuer |
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1528455813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 2079 (North Dakota) | Primary |
Paul A. Fredrikson, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 25th St S, Suite 1, Fargo, ND 58103 Phone: 701-280-0088 Fax: 701-293-5602 | |
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