# NORTHCREEK DENTAL PC

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

## Provider details

- **NPI number:** 1467524496
- **Authorized official:** DR. MARK A SCHAFFER DDS (OWNER DENTIST)
- **Authorized official phone:** (701) 232-2409

## Contact information

- **Practice address:** 100 S 4TH ST, STE 312, FARGO, ND 58103
- **Practice address phone:** (701) 232-2409
- **Practice address fax:** (701) 232-2563
- **Mailing address:** 100 S 4TH ST, STE 312, FARGO, ND 58103
- **Mailing address phone:** (701) 232-2409
- **Mailing address fax:** (701) 232-2563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 1893 | ND | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020