LIFETIME DENTAL, PC (NPI# 1669880845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880845 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL, PC |
| Practice Address |
321 Briggs Ave S Suite 3 Park River ND 58270 |
| Practice Telephone | 7012847777 |
| Practice Fax Number | 7012846776 |
| Mailing Telephone | 7012847777 |
| Mailing Fax Number | 7012846776 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | ROBERTA L EKMAN (PRESIDENT) |
| Authorized Official Telephone | 7012847777 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1904 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1458306 | 05 |
| Street Address |
321 BRIGGS AVE S SUITE 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 |
| 1104317189 | Paul Benedict Dusek | Dentist | 321 Briggs Ave S Ste 3, Park River, ND 58270 | 2018-05-24 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| 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 |
| 1992107122 | Dakota Dental | Clinic/Center | 2605 19th Ave W, Suite 102, Williston, ND 58801-2892 | 2014-09-18 |
| 1285043802 | Lidgerwood Dental Office | Clinic/Center | 19 Wiley Ave S, Lidgerwood, ND 58053-4001 | 2014-08-07 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
Please comment or provide details below to improve the information on LIFETIME DENTAL, PC.
| 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.