MC DENTAL CORPORATION, PC (NPI# 1326515776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326515776 |
| Entity Type | Organization |
| Organization Name | MC DENTAL CORPORATION, PC |
| Practice Address |
708 Main St Williston ND 58801-5320 |
| Practice Telephone | 7017741879 |
| Mailing Telephone | 7017741879 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | DR. BROCK CASPERSON (OWNER-PRESIDENT/DOCTOR) |
| Authorized Official Telephone | 7017741879 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maisey Dental Clinic | Doing Business As Name - Organization |
| Street Address |
708 MAIN ST |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902096563 | William H. Maisey Dentist P.C. | Dentist | 708 Main St, Williston, ND 58801-5320 | 2007-07-30 |
| 1922139302 | Michael Lyman O'brien | Dentist | 708 Main St, Williston, ND 58801-5320 | 2007-03-08 |
| 1578602967 | William Henry Maisey | Dentist | 708 Main St, Williston, ND 58801-5320 | 2007-02-05 |
| 1871632273 | Edward Douglas Maisey | Dentist | 708 Main St, Williston, ND 58801-5320 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992107122 | Dakota Dental | Clinic/Center | 2605 19th Ave W, Suite 102, Williston, ND 58801-2892 | 2014-09-18 |
| 1407336084 | Arie Bauer Dds, PC | Clinic/Center | 501 Main St, Williston, ND 58801-5327 | 2018-08-14 |
| 1093171977 | Greg A. Anderson, Dds,pc | Clinic/Center | 501 Main St, Suite 4, Williston, ND 58801-5327 | 2016-01-08 |
| 1881933034 | Sincere Smiles | Clinic/Center | 2224 1st Ave W, Williston, ND 58801-6286 | 2013-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465372 | Amundson Dental Associates | Clinic/Center | 2600 Demers Ave Ste 107, Grand Forks, ND 58201-4100 | 2017-06-01 |
| 1093241846 | Serenity Valley Family Dentistry | Clinic/Center | 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 | 2017-05-11 |
| 1508249186 | Clausnitzer Dentistry, P.C. | Clinic/Center | 1110 College Dr Ste 108, Bismarck, ND 58501-1207 | 2015-07-01 |
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1558754036 | Cristopher Turman P.C. | Clinic/Center | 521 Beaver Ave, Wishek, ND 58495-7033 | 2015-03-09 |
| 1447658950 | Heidi Nichols-johnson, Dds | Clinic/Center | 4900 Ottawa St, Suite 200, Bismarck, ND 58503-6154 | 2014-12-16 |
| 1205234721 | Bismarck Family Dental,pc | Clinic/Center | 115 W Century Ave Ste C, Bismarck, ND 58503-1403 | 2014-12-16 |
| 1902203854 | Northcreek Dental, PC | Clinic/Center | 333 Main Ave S, Hankinson, ND 58041-4100 | 2014-11-20 |
| 1285043802 | Lidgerwood Dental Office | Clinic/Center | 19 Wiley Ave S, Lidgerwood, ND 58053-4001 | 2014-08-07 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
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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.