Goose River Dental Assoc., PC
Organization Active NPI General Practice Dentistry · Mayville, ND
NPI 1164522306 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164522306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- GOOSE RIVER DENTAL ASSOC., PC
- Practice address
- 37 1/2 Main St E
Mayville, ND 58257 - Phone
- (701) 788-4064
- Fax
- (701) 788-9090
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert C Lauf Jr., DDS
- Title
- Owner
- Phone
- (701) 788-4064
Practitioners 1
-
Robert C Lauf, DDS
National Provider Directory
Locations
37 Main St E
Mayville, ND 58257
Phone (701) 788-4064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
37 1/2 Main St E
Mayville, ND 58257
Mailing address
37 1/2 Main St E
Mayville, ND 58257
Phone (701) 788-4064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41080 | Medicaid | ND |
Other providers in Mayville, ND
- Marcus Randall Aasen
- Zachery R Bjore
- Sherree Lee Engen
- Sara Dawn Garrett
- Gary a Matthys MD PLC
- Sarah B Gustafson
- Cherron Marie Kingzett Halvorson
- Cathi Hanson
- Nicholas Huss
- Natasha Ann Jones
All providers in Mayville, 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 22, 2020. 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.