Organization
SMILE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON FALLGATTER DDS, MS (PRESIDENT)
(701) 252-1212
Entity
Organization
Contact information
Practice address
1517 12TH AVE NE, JAMESTOWN, ND 58401-2703
(701) 252-1212
(701) 252-1839
Mailing address
1517 12TH AVE NE, JAMESTOWN, ND 58401-2703
(701) 252-1212
(701) 252-1839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1915
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41512
—
ND
Enumeration date
03/02/2015
Last updated
12/08/2020
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