Prairie Rose Family Dentists | |
1110 College Dr. Suite 110 Bismark ND 58501 | |
(701) 258-8100 | |
Not Available |
Full Name | Prairie Rose Family Dentists |
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Speciality | Dentist - General Practice |
Location | 1110 College Dr., Bismark, North Dakota |
Authorized Official Name and Position | Richard J Hieb (PARTNER) |
Authorized Official Contact | 7012231194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Rose Family Dentists 121 E. Front Ave. Bismark ND 58504 Ph: (701) 223-1194 | Prairie Rose Family Dentists 1110 College Dr. Suite 110 Bismark ND 58501 Ph: (701) 258-8100 |
NPI Number | 1679042519 |
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Provider Enumeration Date | 11/21/2018 |
Last Update Date | 11/21/2018 |
Identifier | Type | State | Issuer |
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1679042519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |