Caitlin Spacek, DDS

General Practice Dentistry · Moorhead, MN

Individual Active NPI

NPI number 1336765254

Practice location

2704 12TH St S
Moorhead, MN 56560-4621
Phone
(218) 233-0570

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NPI record

NPI
1336765254
Entity type
Individual (Type 1)
Enumeration date
June 17, 2020
Last updated
May 13, 2024
Certified
May 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2404 ND
Dentist 122300000X D14526 MN

Mailing address

1650 45TH St S Ste 108
Fargo, ND 58103-3247
Phone
(701) 526-4652

Other practice locations (1)

  • 3300 32nd Ave S, Grand Forks, ND 58201-5801 · (701) 765-3494

About Dr. Spacek

Caitlin Spacek, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2704 12TH St S, Moorhead, MN 56560-4621. The NPI number 1336765254 was assigned on June 17, 2020 and the record was last updated on May 13, 2024.

Dr. Spacek lists 2 licenses in the registry: #2404 (ND) for General Practice Dentistry; #D14526 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caitlin Spacek, DDS?

The NPI number is 1336765254.

What is the phone number of Dr. Spacek?

The phone number listed for the practice location is (218) 233-0570.

Where is Dr. Spacek located?

2704 12TH St S, Moorhead, MN 56560-4621.

What is the taxonomy code for Dr. Spacek?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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