Great Northern Dental Care

LBN: Great Northern Dental Care
Great Northern Dental Care is an health care organization with primary practice located at 667 Demers Ave Ste 1002 , Grand Forks ND 58201-4500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Great Northern Dental Care can be contacted via phone (701) 772-8488, or through Clayburgh, John via phone (701) 772-8488.

Contact Information

Primary practice address
667 Demers Ave Ste 1002 Grand Forks ND 58201-4500
Phone: (701) 772-8488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clayburgh, John Doctor of Dental Surgery (DDS)
Phone: (701) 772-8488

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1688 North Dakota

Profile Details

NPI number 1356715841
LBN Legal business name Great Northern Dental Care
DBA Doing business as
Authorized official Clayburgh, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2015
Last updated Nov 20th, 2015 - about 9 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 1356715841 NPPES
South Dakota MEDICAID 1456616

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