Individual
MICHAEL J NOFFZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2856 BRANDT DR S, FARGO, ND 58104-8805
(701) 232-9565
(701) 298-0853
Mailing address
2856 BRANDT DR S, FARGO, ND 58104-8805
(701) 232-9565
(701) 298-0853
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2025
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11700
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
49823
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717683000
—
MN
Enumeration date
01/06/2006
Last updated
05/24/2019
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