Prairie Oral Surgery Ltd

LBN: Prairie Oral Surgery Ltd
Prairie Oral Surgery Ltd is an health care organization with primary practice located at 2585 23Rd Ave S Ste A., Fargo ND 58103. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Prairie Oral Surgery Ltd can be contacted via phone (701) 478-4404, or through Jaroszewski, Beth Marie via phone (701) 478-4404.

Contact Information

Primary practice address
2585 23Rd Ave S Ste A. Fargo ND 58103
Phone: (701) 478-4404
Fax: (701) 478-4407
Website:
Map and Directions
Authorized official contact:
Name: Jaroszewski, Beth Marie
Phone: (701) 478-4404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X North Dakota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1598763120
LBN Legal business name Prairie Oral Surgery Ltd
DBA Doing business as
Authorized official Jaroszewski, Beth Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598763120 NPPES
North Dakota MEDICAID 41305

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