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
Phone: (701) 478-5439
Fax: (701) 364-5440
Website:
Authorized official contact:
Name: Hoge, Chad James Doctor of Dental Surgery (DDS)
Phone: (701) 478-5439
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487824991 | NPPES |
North Dakota | MEDICAID | 41438 |
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