DR. DDS Brent Jonathon Selle, NPI 1184629651
General Practice Dentistry in Dickinson, ND, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1184629651 |
| NPI Entity Type | Individual |
| Provider Name | DR. DDS Brent Jonathon Selle |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1560 Western Dr, Dickinson, ND, US |
| Provider Mailing Address | 1560 Western Dr, Dickinson, ND, US, 586013155 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Dentistry |
| Classification | |
| Group | |
| License No. | 1914 |
| License State | ND |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 41288 | ND | MEDICAID | 05 |
| V01914 | TX | TEXAS BLUE CROSS BLUE SHI | 01 |
| 01345827 | ND | TRICARE DENTAL INSURANCE | 01 |
| 901914 | ND | BLUE CROSS BLUE SHIELD | 01 |
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|---|---|---|---|
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LCSW Erika Louise Lake Individual |
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LPCC Megan Tarryn Degenstein Individual |
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