# MARK R SHEILS DDS PC

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

## Provider details

- **NPI number:** 1467596767
- **Authorized official:** MARK R SHEILS DDS (OWNER)
- **Authorized official phone:** (701) 232-6683

## Contact information

- **Practice address:** 1300 GATEWAY DR S, FARGO, ND 58103-3509
- **Practice address phone:** (701) 232-6683
- **Mailing address:** 1300 GATEWAY DR S, FARGO, ND 58103-3509
- **Mailing address phone:** (701) 232-6683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 02/23/2009