Williams G Stearns, DDS

Individual provider Active NPI General Practice Dentistry · Fargo, ND

NPI 1467545673 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467545673
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1779 (ND)
Practice address
100 4TH STR S
Suite 304
Fargo, ND 58103
Phone
(701) 235-6075
Fax
(701) 235-0140
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1779NDMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1779 ND Yes

Addresses

Primary practice location

100 4TH STR S
Suite 304
Fargo, ND 58103

Mailing address

100 4TH STR S
Suite 304
Fargo, ND 58103
Phone (701) 235-6075

Other providers in Fargo, ND

All providers in Fargo, ND · General Practice Dentistry in North Dakota

Sources for this page

Verify at the official NPI Registry.