Organization
DAKOTA ADULT & PEDIATRIC PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JAMES HESS DO (PRESIDENT)
(701) 552-6578
Entity
Organization
Contact information
Practice address
4541 52ND AVE S, STE 100, FARGO, ND 58104-5565
(701) 552-6578
(701) 380-5115
Mailing address
4541 52ND AVE S, STE 100, FARGO, ND 58104-5565
(701) 552-6578
(701) 380-5115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679864441
NPI
—
Enumeration date
09/13/2021
Last updated
02/16/2024
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