Buntrock Detnal PC – Dentist in Williston, ND

Key facts

NPI: 1558746271
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 2170 (AZ)
Legal business name: BUNTROCK DETNAL PC
Practice address: 2204 2ND Ave W
Suite 102
Williston, ND 58801-3485
Phone: (701) 774-3333
Fax: (701) 572-1039
NPI assigned: Jul 23, 2015
Organization subpart: No

Authorized official

Name: Danelle Estrada
Title: Practice Coordinator
Phone: (701) 774-3333

Practitioners 2

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

Brad Douglas Bekkedahl, DDS General Practice Dentistry · Williston, ND · NPI 1679622039

NPD (past)
Benjamin R Buntrock, DMD Dentist · Detroit Lakes, MN · NPI 1023372265

NPD (past) DENTIST

National Provider Directory

Locations

2204 2nd Ave W
Ste 102
Williston, ND 58801
Phone (701) 577-7771

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	2170	AZ	Yes
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	1726	MN
Dental Hygienist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	124Q00000X	1543	ND

Addresses

Primary practice location

2204 2ND Ave W
Suite 102
Williston, ND 58801-3485

Mailing address

2204 2ND Ave W
Suite 102
Williston, ND 58801-3485
Phone (701) 774-3333

Other providers in Williston, ND

All providers in Williston, ND · Dentist 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 23, 2015. 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.

Verify at the official NPI Registry.