Selle Family Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1914 Issued in ND

Legal business name

SELLE FAMILY DENTAL, PC

Practice address

1560 Western Dr
Dickinson, ND 58601-3155

Phone

(701) 483-9801

Fax

(701) 483-9803

NPI assigned

Jun 26, 2008

Last updated

May 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Selle

Title

Vice President

Phone

(701) 483-9801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Jonathon Selle, DDS

  • General Practice Dentistry
  • Dickinson, ND
  • NPI 1184629651
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1932361524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WESTERN DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013155",
            "telephone_number": "701-483-9801",
            "fax_number": "701-483-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WESTERN DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013155",
            "telephone_number": "701-483-9801",
            "fax_number": "701-483-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLE FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "SELLE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "701-483-9801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41362",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Turine Seaks, LSW
• Searching for Sunshine
• Eric Seiler, DC
• Jacob A Selinger, D.C.
• Kayla Marie Selinger, DPT
• Brent Jonathon Selle, DDS
• Krysta Sellers, D.M.D., M.S.
• Sherman Severson, MD
• Jerry Sevier
• Christopher Sharp

• Dental Clinic/Center in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.