Individual
DR. LOYE A ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
120 MAIN STREET, WILLISTON, ND 58801
(701) 572-9461
(701) 572-6762
Mailing address
PO BOX 1481, WILLISTON, ND 58802-1481
(701) 572-9461
(701) 572-6762
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1336
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011 2788
MEDICAID
MT
05
—
40468
—
ND
Enumeration date
11/16/2006
Last updated
07/08/2007
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