Organization
CENTER FOR SMILE DESIGN, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES O'CONNELL DDS (PRESIDENT)
(701) 746-1481
Entity
Organization
Contact information
Practice address
117 N WASHINGTON ST, GRAND FORKS, ND 58203-3450
(701) 746-1481
(701) 746-6201
Mailing address
117 N WASHINGTON ST, GRAND FORKS, ND 58203-3450
(701) 746-1481
(701) 746-6201
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1635
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000719850
UNITED CONCORDIA
—
01
—
1635
BLUE CROSS BLUE SHIELD OF ND
ND
01
—
1635
DELTA DENTAL
—
05
—
41259
—
ND
Enumeration date
07/23/2015
Last updated
07/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us