| Hometown Dental, Pllc | |
|
188 Osborn Dr Dickinson ND 58601-3960 | |
| (701) 483-7668 | |
| Not Available |
| Full Name | Hometown Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 188 Osborn Dr, Dickinson, North Dakota |
| Authorized Official Name and Position | Thomas Peters (OWNER) |
| Authorized Official Contact | 7015903445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental, Pllc 188 Osborn Dr Dickinson ND 58601-3960 Ph: (701) 483-7668 | Hometown Dental, Pllc 188 Osborn Dr Dickinson ND 58601-3960 Ph: (701) 483-7668 |
| NPI Number | 1518628130 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518628130 | NPI | - | NPPES |
| 4572184 | Other | ND | UCCI DENTAL CLAIMS (BCBS) |
| 1483355 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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