Benjamin Huber, DDS
Individual provider Active NPI General Practice Dentistry · Fargo, ND
NPI 1962071902 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1962071902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2434 (ND)
- Practice address
- 3011 25TH St S
Fargo, ND 58103-6162 - Phone
- (701) 280-0088
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2434 | ND | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Nygard | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2434 | ND | Yes |
Addresses
Primary practice location
3011 25TH St S
Fargo, ND 58103-6162
Mailing address
2766 41St St S Apt 316
Fargo, ND 58104-9095
Other practice location 1
1918 9th St E
West Fargo, ND 58078-8004
Phone (701) 282-5930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2434 | Other | ND | NORTH DAKOTA BOARD OF DENTAL EXAMINERS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drben@smilecareteam.com |
Other providers in Fargo, ND
- Elisha Hoye
- Jeff Hoye
- Wendy Hoyem
- Jacob Peter Hruby
- Brooke Hubbes
- Danielle M Huber
- Emily Ann Huber
- Jason P Huber
- Matthew Huber
- Olivia Huber
All providers in Fargo, ND · General Practice Dentistry 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 Jun 23, 2021. 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.