Parshall Dental Clinic

Organization Active NPI General Practice Dentistry · Parshall, ND

NPI 1154579274 · NPPES record last updated Sep 3, 2008

Key facts

NPI
1154579274
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
PARSHALL DENTAL CLINIC
Practice address
20 S Main
Parshall, ND 58770-0520
Phone
(701) 862-3121
NPI assigned
Sep 3, 2008
Organization subpart
No

Authorized official

Name
Ms. Penny Estvold
Title
Office Manager
Phone
(701) 862-3121

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kenmare Dental Clinic (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

20 S Main
Parshall, ND 58770-0520

Mailing address

20 S Main
PO Box 520
Parshall, ND 58770-0520
Phone (701) 862-3121

Other identifiers

IdentifierTypeStateIssuer
41163MedicaidND

Other providers in Parshall, ND

All providers in Parshall, ND · General Practice Dentistry in North Dakota

Sources for this page

Verify at the official NPI Registry.