| Lifetime Dental Partners, Pllc | |
|
321 Briggs Ave S Suite 3 Park River ND 58270 | |
| (701) 284-7777 | |
| (701) 284-6776 |
| Full Name | Lifetime Dental Partners, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 321 Briggs Ave S, Park River, North Dakota |
| Authorized Official Name and Position | Roberta Lea Ekman (OWNER) |
| Authorized Official Contact | 7013522450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Partners, Pllc 927 W 12th St Grafton ND 58237-2121 Ph: (701) 352-2450 | Lifetime Dental Partners, Pllc 321 Briggs Ave S Suite 3 Park River ND 58270 Ph: (701) 284-7777 |
| NPI Number | 1669880845 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669880845 | NPI | - | NPPES |
| 1458306 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1904 (North Dakota) | Primary |
Park River Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Briggs Avenue, Park River, ND 58270 Phone: 701-284-6131 |