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LIDGERWOOD DENTAL OFFICE
NPI 1285043802
Clinic/Center - Dental in Lidgerwood, ND

Active since August 07, 2014
19 WILEY AVE S, LIDGERWOOD, ND 58053(701) 538-4583(701) 538-4560 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lidgerwood Dental Office NPPES

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

LIDGERWOOD DENTAL OFFICE (NPI 1285043802) is a healthcare organization registered as a dental in Lidgerwood, North Dakota and active in the NPI registry since August 2014. The organization lists James D Marotzke, Owner, as its authorized official.

NPPES Registry Identity

NPI1285043802
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLIDGERWOOD DENTAL OFFICE
Location Address19 WILEY AVE SLidgerwood, ND 58053-4001
Mailing Address19 Wiley Ave SLidgerwood, ND 58053-0431 · (701) 538-4583 · Fax (701) 538-4560
Phone(701) 538-4583
Fax(701) 538-4560
Organization SubpartNo
Authorized OfficialJames D MarotzkeOwner · (701) 538-4583
Enumeration DateAugust 7, 2014
✔ NPI 1285043802 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 · 1488
19 WILEY AVE S, Lidgerwood, ND 58053
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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 Lidgerwood Dental Office's NPI number?

The NPI number for Lidgerwood Dental Office is 1285043802. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Lidgerwood Dental Office located?

Lidgerwood Dental Office is located at 19 Wiley Ave S, Lidgerwood, ND 58053. The listed phone number is (701) 538-4583.

What is Lidgerwood Dental Office'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 Lidgerwood Dental Office was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.