Daniel L. Mengedoth, DDS LTD

General Practice Dentistry · Moorhead, MN

Organization Active NPI

NPI number 1942219852

Practice location

2121 Highway 10 E
Moorhead, MN 56560-2559
Phone
(218) 236-7076
Fax
(218) 236-4999

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NPI record

NPI
1942219852
Entity type
Organization (Type 2)
Enumeration date
August 7, 2006
Last updated
December 3, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11185 MN

Authorized official

Name
Dr. Daniel L Mengedoth, D.D.S.
Title
CEO
Phone
(218) 236-7076

About Daniel L. Mengedoth, DDS LTD

Daniel L. Mengedoth, DDS LTD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2121 Highway 10 E, Moorhead, MN 56560-2559. The NPI number 1942219852 was assigned on August 7, 2006 and the record was last updated on December 3, 2013.

Daniel L. Mengedoth, DDS LTD lists a license in the registry: #D11185 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Daniel L Mengedoth, D.D.S., CEO.

Frequently asked questions

What is the NPI number of Daniel L. Mengedoth, DDS LTD?

The NPI number is 1942219852.

What is the phone number of Daniel L. Mengedoth, DDS LTD?

The phone number listed for the practice location is (218) 236-7076.

Where is Daniel L. Mengedoth, DDS LTD located?

2121 Highway 10 E, Moorhead, MN 56560-2559.

What is the taxonomy code for Daniel L. Mengedoth, DDS LTD?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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