Dakota Pediatric Dentistry

LBN: Dakota Pediatric Dentistry
Dakota Pediatric Dentistry is an health care organization with primary practice located at 4265 45Th St S Ste 202 , Fargo ND 58104-4309. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Dakota Pediatric Dentistry can be contacted via phone (701) 478-5439, or through Hoge, Chad James via phone (701) 478-5439.

Contact Information

Primary practice address
4265 45Th St S Ste 202 Fargo ND 58104-4309
Fax: (701) 364-5440
Website:
Authorized official contact:
Name: Hoge, Chad James Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1998 North Dakota
Dental Providers / Pediatric Dentistry 1223P0221X 2000 North Dakota

Profile Details

NPI number 1487824991
LBN Legal business name Dakota Pediatric Dentistry
DBA Doing business as
Authorized official Hoge, Chad James Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Apr 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487824991 NPPES
North Dakota MEDICAID 41438

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