Lidgerwood Dental Office
Organization Active NPI Dental Clinic/Center · Lidgerwood, ND
NPI 1285043802 · NPPES record last updated Aug 7, 2014
Key facts
- NPI
- 1285043802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 1488 (ND)
- Legal business name
- LIDGERWOOD DENTAL OFFICE
- Practice address
- 19 Wiley Ave S
Lidgerwood, ND 58053-4001 - Phone
- (701) 538-4583
- Fax
- (701) 538-4560
- NPI assigned
- Aug 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. James D Marotzke, DDS
- Title
- Owner
- Phone
- (701) 538-4583
Practitioners 1
-
James D Marotzke, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1488 | ND | Yes |
Addresses
Primary practice location
19 Wiley Ave S
Lidgerwood, ND 58053-4001
Mailing address
19 Wiley Ave S
Lidgerwood, ND 58053-0431
Phone (701) 538-4583
Other providers in Lidgerwood, ND
- Kelly Honl
- Brayden Jelinek
- Heather Kraemer
- Pam Kraemer
- Trilby Lawrenson
- Lidgerwood Rural Ambulance Service
- James D Marotzke
- ND Home Health LLC
- Sanford Clinic North
- Southeast Therapy Services Inc
All providers in Lidgerwood, 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 Aug 7, 2014. 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.