NPI 1033540539

Daniel Lawrence Mengedoth, DDS

Practitioner General Practice Dentistry Fargo, ND

Practice location

Address: 2585 23rd Ave S Suite C, Fargo, ND 58103-6172
Phone: (701) 356-1280
Fax: (701) 356-1281
Mailing address: 2585 23rd Ave Suite C, Fargo, ND 58103

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2087 (ND)

Other Dentist providers in North Dakota →

Registry record

NPI: 1033540539
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2013
Record last updated: 9 Dec 2013

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.