# JAMES B. LICHTSINN, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southpointe Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073676722
- **Authorized official:** DR. JAMES BRIAN LICHTSINN (PRESIDENT)
- **Authorized official phone:** (701) 280-1941

## Contact information

- **Practice address:** 3210 18TH ST S STE A, FARGO, ND 58104-6789
- **Practice address phone:** (701) 280-1941
- **Practice address fax:** (701) 364-1943
- **Mailing address:** 3210 18TH ST S STE A, FARGO, ND 58104-6789
- **Mailing address phone:** (701) 280-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2006
- **Last updated:** 02/26/2019