MICHAEL J NOFFZE (NPI# 1538147848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538147848 |
| Entity Type | Individual |
| Full Name | MICHAEL J NOFFZE |
| Credential | DDS |
| Practice Address |
2856 Brandt Dr S Fargo ND 58104-8805 |
| Practice Telephone | 7012329565 |
| Practice Fax Number | 7012980853 |
| Mailing Telephone | 7012329565 |
| Mailing Fax Number | 7012980853 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2025 | ND | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 49823 | MN | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | 11700 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 717683000 | 05 |
| Street Address |
2856 BRANDT DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739233 | Edward Francis May | Dentist | 2585 23rd Ave S, Ste A., Fargo, ND 58103 | 2005-06-08 |
| 1720241615 | Martin Belanger | Dentist | 1720 University Dr S, Fargo, ND 58103-4940 | 2008-07-09 |
| 1508048521 | Jonathan Russell Gray | Dentist | 4344 20th Ave S, Fargo, ND 58103-7436 | 2007-11-30 |
| 1629147723 | Charles A Crago | Dentist | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 | 2006-11-06 |
| 1295804300 | Face and Jaw Surgeons PC | Dentist | 4344 20th Ave S, Ste 2, Fargo, ND 58103-7436 | 2006-11-06 |
| 1780761031 | Scott A Preisler | Dentist | 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 | 2006-11-01 |
| 1467487298 | Paul H Iverson | Dentist | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-07-11 |
| 1225013022 | Karel A Deleeuw | Dentist | 1717 University Dr S, Fargo, ND 58103 | 2005-12-14 |
| 1598763120 | Prairie Oral Surgery | Dentist | 2585 23rd Ave S, Ste A., Fargo, ND 58103 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1649816828 | Dr. Jeremiah J. Glosenger, PC | Dentist | 2615 Elk Dr Ste 3, Minot, ND 58701-1200 | 2019-11-21 |
| 1255759650 | Implant&maxillofacial Surgical Center | Dentist | 2224 1st Ave W Ste 2, Williston, ND 58801-6286 | 2014-04-02 |
| 1477723591 | Oral Surgery Center of Bismarck, PC | Dentist | 3117 N 14th St, Bismarck, ND 58503-0664 | 2008-03-04 |
| 1457420564 | Face and Jaw Surgeons PC | Dentist | 2845 36 Ave South, Grand Forks, ND 58201-6747 | 2006-11-06 |
| 1073697157 | Troy R Petersen | Dentist | 1165c South Columbia Road, Grand Forks, ND 58201-4007 | 2006-10-25 |
| 1790889152 | Rudy J Schneider | Dentist | 3187 Blue Stem Dr Ste 4, West Fargo, ND 58078-8008 | 2006-09-07 |
| 1588697015 | Phillip T. Iero, M.d.,d.d.s., PC | Dentist | 416 N 6th St, Bismarck, ND 58501-4416 | 2006-07-08 |
| 1285670067 | John G Stanley | Dentist | 2331 Tyler Pkwy, Suite 4, Bismarck, ND 58503-0871 | 2006-06-21 |
| 1184667305 | Face and Jaw Surgeons PC | Dentist | 1140 W Capitol Ave, Bismarck, ND 58501-9956 | 2006-06-14 |
| 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.