Amundson Dental Associates
Organization Active NPI Dental Clinic/Center · Grand Forks, ND
NPI 1215465372 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1215465372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 1781 (ND)
- Legal business name
- AMUNDSON DENTAL ASSOCIATES
- Practice address
- 2600 Demers Ave Ste 107
Grand Forks, ND 58201-4100 - Phone
- (701) 772-0171
- Fax
- (701) 772-3138
- NPI assigned
- Jun 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Kimberly J Amundson
- Title
- Office Manager
- Phone
- (701) 772-0171
Practitioners 2
-
Roger Martin Amundson, DDS, FAGD
-
Scott M Amundson, DDS
National Provider Directory
Locations
2600 Demers Ave
Ste 107
Grand Forks, ND 58201
Phone (701) 772-0171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1781 | ND | Yes |
Addresses
Primary practice location
2600 Demers Ave Ste 107
Grand Forks, ND 58201-4100
Mailing address
2600 Demers Ave Ste 107
Grand Forks, ND 58201-4100
Phone (701) 772-0171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437228095 | Medicaid | ND |
Other providers in Grand Forks, ND
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- Leah Ames
- Jade Ammons
- Lisa Amundgaard-Pagnac
- Anna Amundson
- Janet Amundson
- Matthew Duane Amundson
- Roger Martin Amundson
- Scott M Amundson
All providers in Grand Forks, ND · Dental Clinic/Center 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 Jul 21, 2022. 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.