NPI 1144391632
Prairie Rose Family Dentists
Practice location
- Address
- 121 E Front Ave, Bismarck, ND 58504-5589
- Phone
- (701) 223-1194
- Fax
- (701) 250-9614
Authorised official
- Name
- Bradley E King
- Title
- President
- Phone
- (701) 223-1194
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1144391632
- Entity type
- Organization
- NPI issued
- 13 Nov 2006
- Record last updated
- 22 Aug 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.