Trenton Indian Service Area
Organization Active NPI Dentist · Trenton, ND
NPI 1124122692 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1124122692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- TRENTON INDIAN SERVICE AREA
- Practice address
- 331 4TH Ave E
Trenton, ND 58853-9998 - Phone
- (701) 774-0461
- Fax
- (701) 774-8003
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Duane Rabbe
- Title
- Chairman
- Phone
- (701) 774-0461
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Trenton Indian Service
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
331 4TH Ave E
Trenton, ND 58853-9998
Mailing address
331 4TH Ave E
Trenton, ND 58853-9998
Phone (701) 774-0461
Other names
- TRENTON COMMUNITY CLINIC
Other providers in Trenton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.