| Pinehurst Family Dentistry | |
|
1001 W Interstate Ave Ste 132 Bismarck ND 58503-0946 | |
| (701) 223-1476 | |
| (701) 223-4503 |
| Full Name | Pinehurst Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 W Interstate Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Chris Neer (MANAGER) |
| Authorized Official Contact | 7012231476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinehurst Family Dentistry 1001 W Interstate Ave Ste 132 Bismarck ND 58503-0946 Ph: (701) 223-1476 | Pinehurst Family Dentistry 1001 W Interstate Ave Ste 132 Bismarck ND 58503-0946 Ph: (701) 223-1476 |
| NPI Number | 1023561123 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023561123 | NPI | - | NPPES |
| 1457770 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1816 (North Dakota) | Primary |
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