| Souris Valley Dental Group | |
|
1300 37th Ave Sw Minot ND 58701-7240 | |
| (701) 852-5595 | |
| (701) 852-2669 |
| Full Name | Souris Valley Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 37th Ave Sw, Minot, North Dakota |
| Authorized Official Name and Position | Mark A Hildahl (OWNER) |
| Authorized Official Contact | 7018525595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souris Valley Dental Group 1300 37th Ave Sw Minot ND 58701-7240 Ph: (701) 852-5595 | Souris Valley Dental Group 1300 37th Ave Sw Minot ND 58701-7240 Ph: (701) 852-5595 |
| NPI Number | 1861497430 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861497430 | NPI | - | NPPES |
| 41311 | Medicaid | ND | |
| 000980706 | Other | ND | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1573 (North Dakota) | Primary |
Stephen L Ricks Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 20th Ave Sw, Minot, ND 58701 Phone: 701-852-2455 Fax: 701-852-2938 | |
Greer Dental,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway, Suite 20, Minot, ND 58701 Phone: 701-838-1123 | |
Face And Jaw Surgeons Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Elk Dr, Suite 3, Minot, ND 58701 Phone: 701-852-3421 Fax: 701-838-1842 | |
Prestwich Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway, Suite 17, Minot, ND 58701 Phone: 701-852-2646 | |
Stanley B. Hirst Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 S. Broadway, Minot, ND 58701 Phone: 701-839-1299 Fax: 701-839-0015 | |
Doughboy Pediatric Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Elk Dr Ste 1, Minot, ND 58701 Phone: 701-839-4440 Fax: 701-839-1911 | |
Big Bear Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Elk Dr Ste 1, Minot, ND 58701 Phone: 701-839-4440 |