Bismarck Advanced Dental And Implants
LBN: Derik Hoerner, Dds, Pc
Bismarck Advanced Dental And Implants is an health care organization with primary practice located at 1004 S. 7Th Street , Bismarck ND 58504-6531. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty.
Derik Hoerner, Dds, Pc can be contacted via phone (701) 390-1920, or through Hoerner, Derik via phone (701) 955-5111.
Contact Information
Primary practice address
1004 S. 7Th Street
Bismarck ND 58504-6531
Phone: (701) 390-1920
Fax: (701) 255-4055
Website:
Authorized official contact:
Name: Hoerner, Derik Doctor of Dental Surgery (DDS)
Phone: (701) 955-5111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2057 | North Dakota |
| Dental Providers / General Practice | 1223G0001X | 1387 | North Dakota |
| Dental Providers / General Practice | 1223G0001X | 1427 | North Dakota |
Profile Details
| NPI number | 1043321334 |
|---|---|
| LBN Legal business name | Derik Hoerner, Dds, Pc |
| DBA Doing business as | Bismarck Advanced Dental And Implants |
| Authorized official | Hoerner, Derik Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 8th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043321334 | NPPES |
| North Dakota | Other | 1427 | STATE DENTAL LICENSE # |
| North Dakota | MEDICAID | 40424 | STATE DENTAL LICENSE # |
| North Dakota | MEDICAID | 41463 | STATE DENTAL LICENSE # |
| North Dakota | Other | 2030 | STATE DENTAL LICENSE # |
| North Dakota | MEDICAID | 40644 | STATE DENTAL LICENSE # |
| North Dakota | Other | 1387 | STATE DENTAL LICENSE # |
| North Dakota | Other | 2057 | STATE DENTAL LICENSE # |
| North Dakota | MEDICAID | 40642 | STATE DENTAL LICENSE # |
| North Dakota | MEDICAID | 41498 | STATE DENTAL LICENSE # |
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