MODERN DENTAL LLC (NPI# 1427309707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427309707 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL LLC |
| Practice Address |
600 22nd Ave Nw Minot ND 58703-0986 |
| Practice Telephone | 7018392372 |
| Mailing Telephone | 7018392372 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | CHRISTIAN D MELAND (PRESIDENT) |
| Authorized Official Telephone | 7018392372 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2128 | ND | Ambulatory Health Care Facilities |
| Street Address |
600 22ND AVE NW |
| City | MINOT |
| State | ND |
| Zip Code | 58703-0986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821527 | Stephan Podrygula | Psychologist | 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703-0986 | 2005-09-13 |
| 1750636932 | Heather Kippen | Social Worker | 600 22nd Ave Nw, Ste U2, Minot, ND 58703-0986 | 2012-07-13 |
| 1639430275 | Christian D Meland | Dentist | 600 22nd Ave Nw, Suite 1, Minot, ND 58703-0986 | 2012-05-30 |
| 1023303674 | John Chase | Dentist | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2011-06-11 |
| 1114119989 | Dakota Family Services | Counselor | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2007-08-15 |
| 1164624458 | Psychological Services, P.C. | Clinic/Center | 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703-0986 | 2007-05-31 |
| 1962573394 | Pamela Sue Walls | Clinical Nurse Specialist | 600 22nd Ave Nw, Suite U2, Minot, ND 58703 | 2006-11-09 |
| 1306926258 | David W Klein | Dentist | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-16 |
| 1134215387 | Susan E Stein | Social Worker | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-05 |
| 1912093972 | Darla F Deslauriers | Counselor | 600 22nd Ave Nw, Minot, ND 58703-0986 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245420751 | Ritter Family Dentistry, LLC | Clinic/Center | 2615 Elk Dr., Suite 2, Minot, ND 58701 | 2007-07-31 |
| 1407492366 | West Hills Dentistry | Clinic/Center | 2615 Elk Dr Ste 2, Minot, ND 58701-1200 | 2019-11-25 |
| 1932631280 | Ness Family Dentistry, LLC | Clinic/Center | 1015 S Broadway, Suite 20, Minot, ND 58701-4667 | 2017-03-28 |
| 1902284573 | Burckhard Orthodontics, Pllc | Clinic/Center | 700 Western Ave, Suite 100, Minot, ND 58701-3760 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465372 | Amundson Dental Associates | Clinic/Center | 2600 Demers Ave Ste 107, Grand Forks, ND 58201-4100 | 2017-06-01 |
| 1093241846 | Serenity Valley Family Dentistry | Clinic/Center | 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 | 2017-05-11 |
| 1508249186 | Clausnitzer Dentistry, P.C. | Clinic/Center | 1110 College Dr Ste 108, Bismarck, ND 58501-1207 | 2015-07-01 |
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1558754036 | Cristopher Turman P.C. | Clinic/Center | 521 Beaver Ave, Wishek, ND 58495-7033 | 2015-03-09 |
| 1447658950 | Heidi Nichols-johnson, Dds | Clinic/Center | 4900 Ottawa St, Suite 200, Bismarck, ND 58503-6154 | 2014-12-16 |
| 1205234721 | Bismarck Family Dental,pc | Clinic/Center | 115 W Century Ave Ste C, Bismarck, ND 58503-1403 | 2014-12-16 |
| 1902203854 | Northcreek Dental, PC | Clinic/Center | 333 Main Ave S, Hankinson, ND 58041-4100 | 2014-11-20 |
| 1992107122 | Dakota Dental | Clinic/Center | 2605 19th Ave W, Suite 102, Williston, ND 58801-2892 | 2014-09-18 |
| 1285043802 | Lidgerwood Dental Office | Clinic/Center | 19 Wiley Ave S, Lidgerwood, ND 58053-4001 | 2014-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.