# DAKOTA DENTAL HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619185824
- **Authorized official:** DR. JOHN A FISHPAW (DENTIST)
- **Authorized official phone:** (701) 852-4755

## Contact information

- **Practice address:** 515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
- **Practice address phone:** (701) 852-4755
- **Practice address fax:** (701) 852-8016
- **Mailing address:** 515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
- **Mailing address phone:** (701) 852-4755
- **Mailing address fax:** (701) 852-8016

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41393 | — | ND |