NPI 1023625126
Candid North Dakota, PLLC
Practice location
- Address
- 122 Broadway N, Fargo, ND 58102-4926
- Phone
- (860) 481-7631
Authorised official
- Name
- Thomas Shannon
- Title
- DDS
- Phone
- (860) 481-7631
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1023625126
- Entity type
- Organization
- NPI issued
- 23 Sep 2020
- Record last updated
- 23 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.