Organization
TRONSGARD AND SULLIVAN DDS PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA LEIGH BOYER (OFFICE MANAGER)
(701) 232-6983
Entity
Organization
Contact information
Practice address
1231 27TH ST S STE C, FARGO, ND 58103-8722
(701) 232-6983
(701) 239-9375
Mailing address
1231 27TH ST S STE C, FARGO, ND 58103-8722
(701) 232-6983
(701) 239-9375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
1796
ND
1223G0001X
General Practice Dentistry
2056
ND
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460606
—
ND
05
—
1484520
—
ND
05
—
41503
—
ND
Enumeration date
06/22/2009
Last updated
08/15/2022
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