Advanced Dental Technologies Center

LBN: Advanced Dental Technologies Center
Advanced Dental Technologies Center is an health care organization with primary practice located at 827 28Th St S Ste A , Fargo ND 58103-8727. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Advanced Dental Technologies Center can be contacted via phone (701) 280-1020, or through Brant, David Gordon via phone (701) 280-1020.

Contact Information

Primary practice address
827 28Th St S Ste A Fargo ND 58103-8727
Phone: (701) 280-1020
Fax: (701) 280-1460
Website:
Map and Directions
Authorized official contact:
Name: Brant, David Gordon DR.
Phone: (701) 280-1020

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1617 North Dakota

Profile Details

NPI number 1114308285
LBN Legal business name Advanced Dental Technologies Center
DBA Doing business as
Authorized official Brant, David Gordon DR.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2015
Last updated Jun 15th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114308285 NPPES
North Dakota MEDICAID 40002

Popular Providers