DR. JONATHAN P DAHL (NPI# 1417288754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417288754 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN P DAHL |
| Credential | DDS |
| Practice Address |
1324-23rd St. S. Ste 1a Fargo ND 58103-3702 |
| Practice Telephone | 7012385616 |
| Practice Fax Number | 7012718813 |
| Mailing Telephone | 7012385616 |
| Mailing Fax Number | 7012718813 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D12757 | MN | Dental Providers |
| Y | 122300000X | Dentist | 2065 | ND | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356480115 | Jonathan Douglas Dahl | Counselor | 1904 Se Division St, Portland, OR 97202-1146 | 2007-02-06 |
| Street Address |
1324-23RD ST. S. STE 1A |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 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 |
| 1023469723 | Stacey Nygaard | Dentist | 3170 44th St S Unit 100, Fargo, ND 58104-8596 | 2016-06-24 |
| 1114308285 | Advanced Dental Technologies Center | Dentist | 827 28th St S Ste A, Fargo, ND 58103-8727 | 2015-06-15 |
| 1740660059 | Krista Johnson | Dentist | 1650 45th St S, Ste 108, Fargo, ND 58103-3246 | 2015-06-02 |
| 1073860128 | Stacy L Seaborn | Dentist | 1324 - 23rd St. S, Ste 1a, Fargo, ND 58103-3702 | 2012-08-08 |
| 1649560392 | Lucas Sandman | Dentist | 2217 University Dr N, Fargo, ND 58102-1817 | 2011-04-14 |
| 1598076119 | Bethany L. Baillargeon Marx | Dentist | 3170 44th Street South, Suite 100, Fargo, ND 58104 | 2010-06-29 |
| Find all providers in FARGO | ||||
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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.