Individual
JOHN OSCAR NORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2650 32ND AVE S STE G, GRAND FORKS, ND 58201-6541
(701) 775-0684
(701) 775-3282
Mailing address
2650 32ND AVE S STE G, GRAND FORKS, ND 58201-6541
(701) 775-0684
(701) 775-3282
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1491
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1491
BCBS ND PROVIDER #
ND
05
—
40504
—
ND
Enumeration date
07/25/2006
Last updated
07/09/2007
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