# CONCEPT DENTISTRY PC

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

## Provider details

- **NPI number:** 1891240354
- **Authorized official:** MRS. HEIDI JO LUND (OPERATIONS LEADER)
- **Authorized official phone:** (701) 866-1894

## Contact information

- **Practice address:** 1999 4TH ST N, WAHPETON, ND 58075
- **Practice address phone:** (701) 642-1484
- **Practice address fax:** (701) 845-0362
- **Mailing address:** 1999 4TH ST N, WAHPETON, ND 58075
- **Mailing address phone:** (701) 642-1484
- **Mailing address fax:** (701) 845-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2265 | ND | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 03/31/2021