SOUTH UNIVERSITY DENTAL ASSOCIATES, PC
NPI 1043514367
Clinic/Center - Dental in Fargo, ND

Active since December 29, 2010
3115 UNIVERSITY DR S, FARGO, ND 58103(701) 232-8884(701) 232-6064 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South University Dental Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH UNIVERSITY DENTAL ASSOCIATES, PC (NPI 1043514367) is a healthcare organization registered as a dental in Fargo, North Dakota and active in the NPI registry since December 2010. The organization lists Thomas Glen Fellman, President, as its authorized official.

NPPES Registry Identity

NPI1043514367
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTH UNIVERSITY DENTAL ASSOCIATES, PC
Location Address3115 UNIVERSITY DR SFargo, ND 58103-6049
Mailing Address3115 University Dr SFargo, ND 58103-6049 · (701) 232-8884 · Fax (701) 232-6064
Fax(701) 232-6064
Organization SubpartNo
Authorized OfficialThomas Glen FellmanPresident · (701) 232-8884
Enumeration DateDecember 29, 2010
NPI 1043514367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in ND · 1493 Licensed in ND · 1843 Licensed in ND · 2068
3115 UNIVERSITY DR S, Fargo, ND 58103

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3115 UNIVERSITY DR S
FARGO, ND 58103
Dentist (General Practice)
3115 UNIVERSITY DR S
FARGO, ND 58103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South University Dental Associates, PC's NPI number?

The NPI number for South University Dental Associates, PC is 1043514367. It was assigned to this organization in the NPPES registry on December 29, 2010.

Where is South University Dental Associates, PC located?

South University Dental Associates, PC is located at 3115 University Dr S, Fargo, ND 58103. The listed phone number is (701) 232-8884.

What is South University Dental Associates, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for South University Dental Associates, PC was last updated on December 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.