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MR. JAMES G LUNDSTROM DDS
NPI 1790807691
Dentist in Fargo, ND

Active since April 04, 2007CLIA 35D2200921 · Waiver
4110 40TH ST S STE 102, FARGO, ND 58104(701) 235-3803(701) 293-1296 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James G Lundstrom Dds NPPES

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

MR. JAMES G LUNDSTROM DDS (NPI 1790807691) is an individual dentist in Fargo, North Dakota, licensed in North Dakota (ND1837) and active in the NPI registry since April 2007. He holds a CLIA Waiver certificate valid through November 17, 2026.

NPPES Registry Identity

NPI1790807691
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JAMES G LUNDSTROMCredential: DDS
Location Address4110 40TH ST S STE 102Fargo, ND 58104-3907
Mailing Address4110 40th St S Ste 102Fargo, ND 58104-3907 · (701) 235-3803 · Fax (701) 293-1296
Phone(701) 235-3803
Fax(701) 293-1296
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateDecember 15, 2010
✔ NPI 1790807691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ND · ND1837
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4110 40TH ST S STE 102, Fargo, ND 58104
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2200921

Dr James G Lundstrom Dds PC · Fargo, ND
Active · expires Nov 17, 2026
CLIA Number35D2200921
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorJames G. Lundstrom
Laboratory Phone(701) 235-3803
Laboratory LocationDr James G Lundstrom Dds PC4110 40th St S Ste 102, Fargo, ND 58104
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 James Lundstrom's NPI number?

The NPI number for James Lundstrom is 1790807691. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is James Lundstrom located?

James Lundstrom practices at 4110 40th St S Ste 102, Fargo, ND 58104. The listed phone number is (701) 235-3803.

What is James Lundstrom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does James Lundstrom hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2200921) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for James Lundstrom was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.