Lisbon Dentistry PC
Organization Active NPI General Practice Dentistry · Lisbon, ND
NPI 1154801090 · NPPES record last updated Aug 20, 2018
Key facts
- NPI
- 1154801090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1948 (ND)
- Legal business name
- LISBON DENTISTRY PC
- Practice address
- 420 Main St
Lisbon, ND 58054-4142 - Phone
- (701) 683-7695
- Fax
- (701) 683-7698
- NPI assigned
- Aug 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Jennifer Marie Lourens
- Title
- Office Manager
- Phone
- (701) 683-7695
Practitioners 1
-
Ryan M Nelson, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 1948 | ND | Yes |
Addresses
Primary practice location
420 Main St
Lisbon, ND 58054-4142
Mailing address
PO Box 1078
Lisbon, ND 58054-1078
Phone (701) 683-7695
Other names
- LISBON SMILES
Other providers in Lisbon, ND
- Lisbon Area Health Services
- Lisbon Area Health Services
- Lisbon Area Health Services
- Lisbon Area Health Services
- Lisbon Chiropractic Clinic PLLC
- Lisbon Pharmacy Inc
- Lisbon Vision Center, P.C.
- Kristina M Long
- Susan Marie Long
- Rudolf Loperena
All providers in Lisbon, ND · General Practice Dentistry in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2018. 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.