| Dakota Pediatric Dentistry | |
|
4265 45th St S Ste 202 Fargo ND 58104-4309 | |
| (701) 478-5439 | |
| (701) 364-5440 |
| Full Name | Dakota Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4265 45th St S Ste 202, Fargo, North Dakota |
| Authorized Official Name and Position | Chad James Hoge (VICE PRESIDENT) |
| Authorized Official Contact | 7014785439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Pediatric Dentistry 4265 45th St S Ste 202 Fargo ND 58104-4309 Ph: (701) 478-5439 | Dakota Pediatric Dentistry 4265 45th St S Ste 202 Fargo ND 58104-4309 Ph: (701) 478-5439 |
| NPI Number | 1487824991 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 04/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487824991 | NPI | - | NPPES |
| 41438 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1998 (North Dakota) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2000 (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 | |
Gary Cornforth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2534 University Dr S, Suite #6, Fargo, ND 58103 Phone: 701-232-1500 Fax: 701-293-6969 | |
Candid North Dakota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Broadway N, Fargo, ND 58102 Phone: 860-481-7631 | |
Family Health Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3332 Fax: 701-271-3349 | |
Saving Smiles Denistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 18th St S Ste B, Fargo, ND 58104 Phone: 701-237-4297 Fax: 701-237-2223 | |
Peace Garden Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1383 21st Ave N Ste B, Fargo, ND 58102 Phone: 701-515-4901 Fax: 701-515-4902 | |
James H Lancaster Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Harwood Dr, Fargo, ND 58104 Phone: 701-232-1781 Fax: 701-232-1782 |