Northcreek Dental PC

NPI #1669917308 in Lidgewood, North Dakota

Provider Information

NPI Number: 1669917308
Entity Type: Organization
Organization Name: Northcreek Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 5, 2017
Last Updated: Jan 5, 2017

Practice Location

Address: 19 WILEY AVE
City: Lidgewood
State: North Dakota
ZIP Code: 58053
Phone: (701) 538-4583

Authorized Official

Name: DR. MARK SCHAFFER, DDS
Title: OWER/DENTISH
Phone: (701) 242-7140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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