Great Plains Periodontics, Pc

NPI 1093954570 - Dentist - 1223P0300X

NPI Details
NPI 1093954570
Enumeration Date 02/06/2009
Last Updated 02/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TODD WILLIAM TODD
Position PRESIDENT
Phone (701) 293-0577
Fax (701) 293-0910
Practice Location
2838 SOUTH UNIVERSITY DRIVE
FARGO ND, 58103-6030, US
Phone (701) 293-0577
Fax (701) 293-0910
Business Location
2838 SOUTH UNIVERSITY DRIVE
FARGO ND, 58103-6030, US
Phone (701) 293-0577
Fax (701) 293-0910
Toxanomy
Taxonomy Code 1223P0300X
License State North Dakota
License Number 1786
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According to our database, Great Plains Periodontics, Pc NPI is 1093954570, taxonomy code is 1223P0300X and license number is 1786, license state is located at North Dakota. Great Plains Periodontics, Pc physically located at 2838 South University Drive, Fargo ND, 58103-6030. NPI Number 1033115704 has the healthcare provider type.

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1093954570 NPI number is provided on an as is basis without warranty of any kind. 1093954570 is maintained by the National Plan & Provider Enumeration System. The contents of Great Plains Periodontics, Pc are for informational purposes only.