1. Home
  2. Directory
  3. North Dakota
  4. Grand Forks
  5. Clinic Center
  6. NPI Profile

AMUNDSON DENTAL ASSOCIATES
NPI 1215465372
Clinic/Center - Dental in Grand Forks, ND

Active since June 01, 2017
2600 DEMERS AVE STE 107, GRAND FORKS, ND 58201(701) 772-0171(701) 772-3138 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 13, 2021, Jun 2, 2017 (3 updates tracked since 2017).

About Amundson Dental Associates NPPES

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

AMUNDSON DENTAL ASSOCIATES (NPI 1215465372) is a healthcare organization registered as a dental in Grand Forks, North Dakota and active in the NPI registry since June 2017. The organization lists Kimberly J Amundson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215465372
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAMUNDSON DENTAL ASSOCIATES
Location Address2600 DEMERS AVE STE 107Grand Forks, ND 58201-4100
Mailing Address2600 Demers Ave Ste 107Grand Forks, ND 58201-4100 · (701) 772-0171 · Fax (701) 772-3138
Phone(701) 772-0171
Fax(701) 772-3138
Organization SubpartNo
Authorized OfficialKimberly J AmundsonOffice Manager · (701) 772-0171
Enumeration DateJune 1, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1215465372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ND · 1781
2600 DEMERS AVE STE 107, Grand Forks, ND 58201
Open in Google Maps ↗

Other Identifiers 1

Medicaid1437228095ND

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 Amundson Dental Associates's NPI number?

The NPI number for Amundson Dental Associates is 1215465372. It was assigned to this organization in the NPPES registry on June 1, 2017.

Where is Amundson Dental Associates located?

Amundson Dental Associates is located at 2600 Demers Ave Ste 107, Grand Forks, ND 58201. The listed phone number is (701) 772-0171.

What is Amundson Dental Associates'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 Amundson Dental Associates was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.