Evergreen Dental

LBN: Heartland Dental
Evergreen Dental is an health care organization with primary practice located at 1213 19Th Ave N , Fargo ND 58102-2242. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Heartland Dental can be contacted via phone (701) 237-6307, or through Fines, Casey Dean via phone (701) 237-6307.

Contact Information

Primary practice address
1213 19Th Ave N Fargo ND 58102-2242
Phone: (701) 237-6307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fines, Casey Dean Doctor of Dental Surgery (DDS)
Phone: (701) 237-6307

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1949 North Dakota

Profile Details

NPI number 1659399517
LBN Legal business name Heartland Dental
DBA Doing business as Evergreen Dental
Authorized official Fines, Casey Dean Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 21st, 2022 - about 3 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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