Three Rivers Dental

Primary specialty

DentistTaxonomy code 122300000X

License

1664 Issued in ND

Legal business name

THREE RIVERS DENTAL

Practice address

1999 4TH St N
Wahpeton, ND 58075-3422

Phone

(701) 642-2656

Fax

(701) 642-2657

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joan Pope, DDS

Title

Owner

Phone

(701) 642-2656

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720293442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753422",
            "telephone_number": "701-642-2656",
            "fax_number": "701-642-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753422",
            "telephone_number": "701-642-2656",
            "fax_number": "701-642-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-642-2656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1664",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kortney Vickie Sturgess
• Christopher Sue, MD
• Kelsey Sue Summerville, M.S.
• Susan L. Swanson, DDS
• The Leach Home
• Dylan M Torgerson, MD
• Kara Ann Trom, BSN, RN, CDE
• Marie Turgeon
• Melissa Twidwell, OTR/L
• Valley Spine Center, Inc.

• Dentist in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.