| Nd Dentistry Pc | |
|
1650 45th Street South Suite 108 Fargo ND 58104 | |
| (315) 454-6000 | |
| (315) 410-5531 |
| Full Name | Nd Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1650 45th Street South, Fargo, North Dakota |
| Authorized Official Name and Position | Jerome B Austriaco (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nd Dentistry Pc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Nd Dentistry Pc 1650 45th Street South Suite 108 Fargo ND 58104 Ph: (315) 454-6000 |
| NPI Number | 1639548118 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639548118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |
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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 | |
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