DR. KAYLA SOVAK (NPI# 1609393990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609393990 |
| Entity Type | Individual |
| Full Name | DR. KAYLA SOVAK |
| Credential | DMD |
| Practice Address |
1101 S Columbia Rd Ste B Grand Forks ND 58201-4055 |
| Practice Telephone | (701) 795-1101 |
| Mailing Telephone | 7017951101 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2315 | ND | Dental Providers |
| Street Address |
1101 S COLUMBIA RD STE B |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134358476 | Heather N. Petricig | Dentist | 1101 S Columbia Rd Ste B, Grand Forks, ND 58201-4055 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871887802 | Nomuhle Sanelisiwe Dube | Dentist | 212 S 4th St Ste 101, Grand Forks, ND 58201-4776 | 2011-06-07 |
| 1952537698 | Kathryn Korsmo | Dentist | 1197a South Columbia Rd., Grand Forks, ND 58201 | 2009-06-09 |
| 1396907416 | John E Clayburgh | Dentist | 667 Demers Ave, Grand Forks, ND 58201-4500 | 2008-06-30 |
| 1134322738 | Daniel Joseph Schefter | Dentist | 3001 B 32nd Ave S, Ste 1b, Grand Forks, ND 58201 | 2007-06-09 |
| 1366503500 | John Joseph Baden | Dentist | 2512 S Washington St Ste A, Grand Forks, ND 58201-6772 | 2006-12-12 |
| 1861569451 | D Tran Dds PC | Dentist | 600 Demers Ave, #304, Grand Forks, ND 58201 | 2006-11-29 |
| 1932273091 | Steven Bradley Swanson | Dentist | 1323 2nd Ave N, Grand Forks, ND 58203-3427 | 2006-11-20 |
| 1841360492 | Nancy Carol Parr | Dentist | 1321 S Washington St, Grand Forks, ND 58201-5434 | 2006-11-09 |
| 1437228095 | Roger Martin Amundson | Dentist | 2600 Demers Ave, Grand Forks, ND 58201-4100 | 2006-11-07 |
| 1023125002 | Glenn Wayne Labine | Dentist | 2401 S Washington, Suite C, Grand Forks, ND 58201-6747 | 2006-08-24 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.