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LIDGERWOOD DENTAL
NPI 1669917308
Dentist - General Practice in Lidgewood, ND

Active since January 05, 2017
19 WILEY AVE, LIDGEWOOD, ND 58053(701) 538-4583(701) 538-4560 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lidgerwood Dental NPPES

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

LIDGERWOOD DENTAL (NPI 1669917308) is a healthcare organization registered as a general practice in Lidgewood, North Dakota and active in the NPI registry since January 2017. The organization lists Mark Schaffer, Ower/dentish, as its authorized official.

NPPES Registry Identity

NPI1669917308
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHCREEK DENTAL PC
Location Address19 WILEY AVELidgewood, ND 58053
Mailing Address17060 Hwy 46Horace, ND 58047
Phone(701) 538-4583
Fax(701) 538-4560
Organization SubpartNo
Authorized OfficialMark SchafferOwer/dentish · (701) 242-7140
Enumeration DateJanuary 5, 2017
✔ NPI 1669917308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
19 WILEY AVE, Lidgewood, ND 58053
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Other Names 1

Doing Business AsLidgerwood Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, UnitedHealthcare.Insurance ›

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 Northcreek Dental PC's NPI number?

The NPI number for Northcreek Dental PC is 1669917308. It was assigned to this organization in the NPPES registry on January 5, 2017. The provider is doing business as Lidgerwood Dental.

Where is Northcreek Dental PC located?

Northcreek Dental PC is located at 19 Wiley Ave, Lidgewood, ND 58053. The listed phone number is (701) 538-4583.

What is Northcreek Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Northcreek Dental PC accept?

Health plans from Sanford Health Plan and UnitedHealthcare list Northcreek Dental PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northcreek Dental PC was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.