Downtown Dental Gp

NPI 1124405030 - Dentist - 122300000X

NPI Details
NPI 1124405030
Enumeration Date 04/29/2015
Last Updated 04/29/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KENNETH DALE KENNETH
Position PRESIDENT
Phone (701) 251-2240
Fax
Practice Location
815 1ST AVE S
JAMESTOWN ND, 58401-4746, US
Phone (701) 251-2240
Fax
Business Location
815 1ST AVE S
JAMESTOWN ND, 58401-4746, US
Phone (701) 251-2240
Fax
Toxanomy
Taxonomy Code 122300000X
License State North Dakota
License Number 1668
Remove 1124405030 NPI Number
 

According to our database, Downtown Dental Gp NPI is 1124405030, taxonomy code is 122300000X and license number is 1668, license state is located at North Dakota. Downtown Dental Gp physically located at 815 1st Ave S, Jamestown ND, 58401-4746. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1124405030 NPI number is provided on an as is basis without warranty of any kind. 1124405030 is maintained by the National Plan & Provider Enumeration System. The contents of Downtown Dental Gp are for informational purposes only.