# TRENTON INDIAN SERVICE AREA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRENTON COMMUNITY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124122692
- **Authorized official:** MR. DUANE RABBE (CHAIRMAN)
- **Authorized official phone:** (701) 774-0461

## Contact information

- **Practice address:** 331 4TH AVE E, TRENTON, ND 58853-9998
- **Practice address phone:** (701) 774-0461
- **Practice address fax:** (701) 774-8003
- **Mailing address:** 331 4TH AVE E, TRENTON, ND 58853-9998
- **Mailing address phone:** (701) 774-0461
- **Mailing address fax:** (701) 774-8003

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 12/30/2024