Pediatric Dentistry LTD

Organization Active NPI Pediatric Dentistry · Fargo, ND

NPI 1619084084 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1619084084
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
License
1406 (ND)
Legal business name
PEDIATRIC DENTISTRY LTD
Practice address
1205 16TH Ave South
Fargo, ND 58103
Phone
(701) 293-6999
Fax
(701) 235-2297
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

Name
Dr. William A Hunter, DDS
Title
President
Phone
(701) 293-6999

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0221X 1406 ND Yes

Addresses

Primary practice location

1205 16TH Ave South
Fargo, ND 58103

Mailing address

1205 16TH Ave South
Fargo, ND 58103
Phone (701) 293-6999

Other providers in Fargo, ND

All providers in Fargo, ND · Pediatric Dentistry in North Dakota

Sources for this page

Verify at the official NPI Registry.