DR. PAUL BENEDICT DUSEK (NPI# 1104317189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104317189 |
| Entity Type | Individual |
| Full Name | DR. PAUL BENEDICT DUSEK |
| Credential | DDS |
| Practice Address |
321 Briggs Ave S Ste 3 Park River ND 58270 |
| Mailing Address |
321 Briggs Ave S Ste 3 Park River ND 58270-4045 |
| Practice Telephone | 7012847777 |
| Mailing Telephone | 7012847777 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2333 | ND | Dental Providers |
| Street Address |
321 BRIGGS AVE S STE 3 |
| City | PARK RIVER |
| State | ND |
| Zip Code | 58270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1033137070 | Roberta L Ekman | Dentist | 321 Briggs Ave, Park River, ND 58270 | 2006-07-17 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1508426735 | Allie Beneda | Physical Therapy Assistant | 115 Vivian St., Park River, ND 58270 | 2019-06-19 |
| 1770795767 | Laurelyn Joann Larson | Pharmacist | Highway 17, Park River, ND 58270 | 2007-05-04 |
| 1861582884 | Park River Volunteer Ambulance | Ambulance | 115 Vivian Street, Park River, ND 58270-0106 | 2006-10-13 |
| Find all providers in zip 58270 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373581 | Jordan Brummond | Dentist | 4204 Boulder Ridge Rd Ste 140, Bismarck, ND 58503-6162 | 2020-07-16 |
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1457812836 | Anna Kay Coyne | Dentist | 1300 E Lasalle Dr, Bismarck, ND 58503-5716 | 2019-03-27 |
| 1851879738 | Navneet Kaur Grewal | Dentist | 3300 32nd Ave S Ste 103, Grand Forks, ND 58201-5803 | 2018-08-01 |
| 1124513668 | Casey Alexander Mclachlan | Dentist | 1383 21st Ave N Ste B, Fargo, ND 58102-1841 | 2018-06-27 |
| 1033617238 | Saving Smiles Denistry | Dentist | 3210 18th St S Ste B, Fargo, ND 58104-6789 | 2018-01-23 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1316483050 | Liebold Dental Pllc | Dentist | 210 11th St E, Bottineau, ND 58318-2052 | 2017-01-18 |
| 1689117830 | Prairie Rose Family Dentists | Dentist | 900 E Calgary Ave, Bismarck, ND 58503-5616 | 2016-11-21 |
| 1023551272 | Prairie Rose Family Dentists | Dentist | 2500 Overlook Ln Nw, Mandan, ND 58554-1593 | 2016-11-21 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.