Organization
HOLLEVOET ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN A HOLLEVOET D.D.S., M.S. (ORTHODONTIST)
(701) 751-1981
Entity
Organization
Contact information
Practice address
1165 W TURNPIKE AVE, BISMARCK, ND 58501-8115
(701) 751-1981
Mailing address
1165 W TURNPIKE AVE, BISMARCK, ND 58501-8115
(701) 751-1981
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459055
—
ND
Enumeration date
07/27/2010
Last updated
09/28/2022
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