Organization
DERIK HOERNER, DDS, PC
Active
Other names
Bismarck Advanced Dental and Implants, Bismarck Advanced Dental and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK HOERNER D.D.S (DENTIST)
(701) 955-5111
Entity
Organization
Contact information
Practice address
1004 S. 7TH STREET, BISMARCK, ND 58504-6531
(701) 390-1920
(701) 255-4055
Mailing address
1004 S. 7TH STREET, BISMARCK, ND 58504-6531
(701) 390-1920
(701) 255-4055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2057
ND
1223G0001X
General Practice Dentistry
1387
ND
1223G0001X
General Practice Dentistry
1427
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387
STATE DENTAL #
ND
01
—
1427
STATE DENTAL LICENSE #
ND
01
—
2030
NDBOE NUMBER
ND
01
—
2057
NDBOE NUMBER
ND
05
—
40424
—
ND
05
—
40642
—
ND
05
—
40644
—
ND
05
—
41463
—
ND
05
—
41498
—
ND
Enumeration date
08/31/2006
Last updated
06/08/2020
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