Kasson, Bradley Mark

Kasson, Bradley Mark is an individual health care provider with primary practice located at 2101 Elm St N , Fargo ND 58102-2417. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kasson, Bradley Mark can be contacted via phone (701) 239-3700.

Contact Information

Primary practice address
2101 Elm St N Fargo ND 58102-2417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1463 North Dakota

Profile Details

NPI number 1346212479
LBN Legal business name Kasson, Bradley Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers