Prairie Rose Family Dentists

LBN: Prairie Rose Family Dentists
Prairie Rose Family Dentists is an health care organization with primary practice located at 121 E Front Ave , Bismarck ND 58504-5589. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Prairie Rose Family Dentists can be contacted via phone (701) 223-1194, or through King, Bradley E via phone (701) 223-1194.

Contact Information

Primary practice address
121 E Front Ave Bismarck ND 58504-5589
Phone: (701) 223-1194
Fax: (701) 250-9614
Website:
Map and Directions
Authorized official contact:
Name: King, Bradley E Doctor of Dental Surgery (DDS)
Phone: (701) 223-1194

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1144391632
LBN Legal business name Prairie Rose Family Dentists
DBA Doing business as
Authorized official King, Bradley E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1144391632 NPPES
North Dakota MEDICAID 41286

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