| Dakota Dental Care | |
|
210 Main St Ellendale ND 58436 | |
| (701) 349-3636 | |
| (701) 349-2137 |
| Full Name | Dakota Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 210 Main St, Ellendale, North Dakota |
| Authorized Official Name and Position | Brandon Cotter (OWNER) |
| Authorized Official Contact | 7013493636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Dental Care Po Box 460 Ellendale ND 58436-0460 Ph: (701) 349-3636 | Dakota Dental Care 210 Main St Ellendale ND 58436 Ph: (701) 349-3636 |
| NPI Number | 1346741964 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346741964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (North Dakota) | Primary |
Dakota Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Main Street, Ellendale, ND 58436 Phone: 701-349-3636 |