Scott M Amundson, DDS
Individual provider Active NPI General Practice Dentistry · Grand Forks, ND
NPI 1972039097 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972039097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2306 (ND)
- Practice address
- 212 S 4TH St Ste 101
Grand Forks, ND 58201-4776 - Phone
- (701) 757-2100
- NPI assigned
- May 10, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amundson Dental Associates | Current |
Accepting new patients | |
| Spectra Health | Past | Accepting new patients | |
| Spectra Health | Past | Accepting new patients |
Locations
2600 Demers Ave
Ste 107
Grand Forks, ND 58201
Phone (701) 772-0171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2306 | ND | Yes |
Addresses
Primary practice location
212 S 4TH St Ste 101
Grand Forks, ND 58201-4776
Mailing address
2600 Demers Ave
Ste. 107
Grand Forks, ND 58201-4100
Phone (701) 772-0171
Other practice location 1
2600 DeMers Ave
Ste. 107
Grand Forks, ND 58201-4100
Phone (701) 772-0171
Other providers in Grand Forks, ND
- Amundson Dental Associates
- Anna Amundson
- Janet Amundson
- Matthew Duane Amundson
- Roger Martin Amundson
- Kristi Anderson Larson
- Megan Lynn Anderson Weisgram
- Amy Lynn Anderson
- Beth Jean Anderson
- Breann Elizabeth Anderson
All providers in Grand Forks, 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 Jul 21, 2022. 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.