Individual
SCOTT A PREISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4344 20TH AVE S, SUITE 2, FARGO, ND 58103-7436
(701) 239-5969
(701) 239-0034
Mailing address
4344 20TH AVE S, SUITE 2, FARGO, ND 58103-7436
(701) 239-5969
(701) 239-0034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1833
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1833
DENTAL LICENSE
ND
05
—
41144
—
ND
Enumeration date
11/01/2006
Last updated
12/14/2010
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