Organization
NORTHCREEK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SCHAFFER DDS (OWNER DENTIST)
(701) 232-2409
Entity
Organization
Contact information
Practice address
100 S 4TH ST, STE 312, FARGO, ND 58103
(701) 232-2409
(701) 232-2563
Mailing address
100 S 4TH ST, STE 312, FARGO, ND 58103
(701) 232-2409
(701) 232-2563
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1893
ND
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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