Individual
DR. JASON O DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1119 SIMS ST, DICKINSON, ND 58601
(701) 227-1193
(701) 225-1163
Mailing address
1119 SIMS ST, DICKINSON, ND 58601
(701) 227-1193
(701) 225-1163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1883
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41275
—
ND
01
—
971883
BLUE CROSS BLUE SHIELD ND
ND
Enumeration date
11/20/2006
Last updated
10/07/2022
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