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GREAT PLAINS PERIODONTICS, PC
NPI 1093954570
Dentist - Periodontics in Fargo, ND

Active since February 06, 2009
2838 SOUTH UNIVERSITY DRIVE, FARGO, ND 58103(701) 293-0577(701) 293-0910 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Plains Periodontics, Pc NPPES

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

GREAT PLAINS PERIODONTICS, PC (NPI 1093954570) is a healthcare organization registered as a periodontics in Fargo, North Dakota and active in the NPI registry since February 2009. The organization lists Todd William Neils, President, as its authorized official.

NPPES Registry Identity

NPI1093954570
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGREAT PLAINS PERIODONTICS, PC
Location Address2838 SOUTH UNIVERSITY DRIVEFargo, ND 58103-6030
Mailing Address2838 South University DriveFargo, ND 58103-6030 · (701) 293-0577 · Fax (701) 293-0910
Phone(701) 293-0577
Fax(701) 293-0910
Organization SubpartNo
Authorized OfficialTodd William NeilsPresident · (701) 293-0577
Enumeration DateFebruary 6, 2009
✔ NPI 1093954570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ND · 1786
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2838 SOUTH UNIVERSITY DRIVE, Fargo, ND 58103
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Great Plains Periodontics, PC's NPI number?

The NPI number for Great Plains Periodontics, PC is 1093954570. It was assigned to this organization in the NPPES registry on February 6, 2009.

Where is Great Plains Periodontics, PC located?

Great Plains Periodontics, PC is located at 2838 South University Drive, Fargo, ND 58103. The listed phone number is (701) 293-0577.

What is Great Plains Periodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Great Plains Periodontics, PC was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.