NPI 1184629651

Brent Jonathon Selle, DDS

Practitioner General Practice Dentistry Dickinson, ND

Practice location

Address: 1560 Western Dr, Dickinson, ND 58601-3155
Phone: (701) 483-9801
Fax: (701) 483-9803

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1914 (ND)

Other Dentist providers in North Dakota →

Registry record

NPI: 1184629651
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2005
Record last updated: 11 May 2009

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.