Organization
DR. JEREMIAH J. GLOSENGER, PC
Active
Other names
North Dakota Oral Surgery & Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH GLOSENGER DDS, MS (PRESIDENT)
(701) 500-0476
Entity
Organization
Contact information
Practice address
2615 ELK DR STE 3, MINOT, ND 58701-1200
(701) 852-3421
Mailing address
2615 ELK DR STE 3, MINOT, ND 58701-1200
(701) 852-3421
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
12/21/2019
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