Souris Valley Dental Group

LBN: Souris Valley Dental Group
Souris Valley Dental Group is an health care organization with primary practice located at 1300 37Th Ave Sw , Minot ND 58701-7240. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Souris Valley Dental Group can be contacted via phone (701) 852-5595, or through Hildahl, Mark A via phone (701) 852-5595.

Contact Information

Primary practice address
1300 37Th Ave Sw Minot ND 58701-7240
Phone: (701) 852-5595
Fax: (701) 852-2669
Website:
Map and Directions
Authorized official contact:
Name: Hildahl, Mark A Doctor of Dental Surgery (DDS)
Phone: (701) 852-5595

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1573 North Dakota

Profile Details

NPI number 1861497430
LBN Legal business name Souris Valley Dental Group
DBA Doing business as
Authorized official Hildahl, Mark A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861497430 NPPES
North Dakota MEDICAID 41311
North Dakota Other 000980706

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