Organization
BRIAN R JESPERSON, DDS, MS, PC
Active
Organization
BRIAN R JESPERSON, DDS, MS, PC
Active
Other names
Jesperson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R JESPERSON DDS, MS, PC (ORTHODONTIST)
(701) 224-1558
Entity
Organization
Contact information
Practice address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558
(701) 224-1093
Mailing address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558
(701) 224-1093
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1634
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634
DSC
ND
05
—
40839
—
ND
Enumeration date
02/05/2009
Last updated
02/05/2009
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