# MAISEY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336557214
- **Authorized official:** KAREN MAISEY (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (701) 774-1879

## Contact information

- **Practice address:** 109 5TH ST SW, BOX 486, WATFORD CITY, ND 58854-7135
- **Practice address phone:** (701) 842-4474
- **Mailing address:** 109 5TH ST SW, BOX 486, WATFORD CITY, ND 58854-7135
- **Mailing address phone:** (701) 842-4474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2216 | ND | Yes |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 07/23/2014