| Lidgerwood Dental | |
|
19 Wiley Ave Lidgewood ND 58053 | |
| (701) 538-4583 | |
| (701) 538-4560 |
| Full Name | Lidgerwood Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19 Wiley Ave, Lidgewood, North Dakota |
| Authorized Official Name and Position | Mark Schaffer (OWER/DENTISH) |
| Authorized Official Contact | 7012427140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lidgerwood Dental 17060 Hwy 46 Horace ND 58047 Ph: () - | Lidgerwood Dental 19 Wiley Ave Lidgewood ND 58053 Ph: (701) 538-4583 |
| NPI Number | 1669917308 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669917308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (North Dakota) | Primary |