Jayme Mace DMD Family Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAYME MACE DMD FAMILY DENTISTRY, PA

Practice address

323 S Cascade St
Fergus Falls, MN 56537-2803

Phone

(218) 736-3179

Fax

(218) 737-0618

NPI assigned

Jan 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jayme Mace, DMDNPI 1073840153

Title

Dr.

Phone

(218) 736-3179

Specialties & licenses 1

Addresses

Other names 1

• Jayme Mace DMD Family Dentistry, PA Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayme M Mace, D.M.D

  • General Practice Dentistry
  • Fergus Falls, MN
  • NPI 1073840153
  NPD Authorized official
• James William Lange, DDS

  • Dentist
  • Fergus Falls, MN
  • NPI 1023185295
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1194476929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372803",
            "telephone_number": "218-736-3179",
            "fax_number": "218-737-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372803",
            "telephone_number": "218-736-3179",
            "fax_number": "218-737-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYME MACE DMD FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "218-736-3179",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jayme Mace DMD Family Dentistry, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Kathleen Doyle Iversen
• Jill Patricia Iverson, D.C.
• Francis M. Jacobson, L.P.
• Emily Janochoski, NP
• Jason Swelstad PLLC
• Kayla Jensen
• Kathrine Kare Johansen
• Catherine A Johnson Dutcher, LPCC
• Ashley Christine Johnson, MA, OTR/L
• Barbara L Johnson

• Dental Clinic/Center in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.