Joseph Allred, DDS
Individual provider Active NPI General Practice Dentistry · Cavalier, ND
NPI 1992018048 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1992018048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2299 (ND)
- Practice address
- 202 E 3Rd Ave S
Cavalier, ND 58220-4023 - Phone
- (701) 265-8777
- NPI assigned
- Jul 19, 2010
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3350 | NM | MD | Dentist |
| 27291 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allred Dental PC | Current |
Accepting new patients | |
| Stevens Dental Group | General Practice | Past |
Accepting new patients |
| Crossroads Dental Group, LLP | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD3350 | NM | |
| Dentist | 122300000X | 27291 | TX | |
| Dentist | 122300000X | D008871 | AZ | |
| General Practice Dentistry | 1223G0001X | 2299 | ND | Yes |
Addresses
Primary practice location
202 E 3Rd Ave S
Cavalier, ND 58220-4023
Mailing address
PO Box 635
Cavalier, ND 58220-0635
Phone (701) 265-8777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1470097 | Medicaid | ND |
Other providers in Cavalier, ND
- Allred Dental PC
- Tawny Lee Baker
- Brenda Sue Brumbaugh
- Kayla Lynn Busse
- Lisa Ann Byron
- Dallas John Carlson
All providers in Cavalier, 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 Aug 12, 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.