Missouri River Dental, Pc | |
1401 Skyline Blvd Suite 210 Bismarck ND 58503-1299 | |
(701) 751-7177 | |
(701) 751-7178 |
Full Name | Missouri River Dental, Pc |
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Speciality | Dentist - General Practice |
Location | 1401 Skyline Blvd, Bismarck, North Dakota |
Authorized Official Name and Position | Timothy Alworth Anderson (PRESIDENT) |
Authorized Official Contact | 6126190917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Missouri River Dental, Pc 1401 Skyline Blvd Suite 210 Bismarck ND 58503-1299 Ph: (701) 751-7177 | Missouri River Dental, Pc 1401 Skyline Blvd Suite 210 Bismarck ND 58503-1299 Ph: (701) 751-7177 |
NPI Number | 1992117501 |
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Provider Enumeration Date | 05/30/2014 |
Last Update Date | 05/30/2014 |
Identifier | Type | State | Issuer |
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1992117501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2214 (North Dakota) | Primary |
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