Great Plains Periodontics, PC
NPI #1093954570 in Fargo, North Dakota
Provider Information
- NPI Number
- 1093954570
- Entity Type
- Organization
- Organization Name
- Great Plains Periodontics, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Feb 6, 2009
- Last Updated
- Feb 6, 2009
Practice Location
- Address
- 2838 SOUTH UNIVERSITY DRIVE
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6030
- Phone
- (701) 293-0577
Authorized Official
- Name
- TODD WILLIAM NEILS, D.D.S.
- Title
- PRESIDENT
- Phone
- (701) 293-0577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. James H. Lancaster, DDS, MS | |
| Mark Jung | |
| DR. Michael Dean Shannon, D.S.S. | |
| Otto William Dohm, DDS,MS |
Organizations
| Provider Name | |
|---|---|
| James H Lancaster DDS |
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