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IDEAL IMAGE DENTISTRY & SPA
NPI 1891090668
Dentist - General Practice in Mandan, ND

Active since January 25, 2011
1008 E MAIN ST, MANDAN, ND 58554(701) 667-1933 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ideal Image Dentistry & Spa NPPES

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

IDEAL IMAGE DENTISTRY & SPA (NPI 1891090668) is a healthcare organization registered as a general practice in Mandan, North Dakota and active in the NPI registry since January 2011. The organization lists Fredrick A Landgrebe, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1891090668
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDEAL IMAGE DENTISTRY & SPA
Location Address1008 E MAIN STMandan, ND 58554-3762
Mailing Address1008 E Main StMandan, ND 58554-3762 · (701) 667-1933
Phone(701) 667-1933
Organization SubpartNo
Authorized OfficialFredrick A LandgrebeOwner/dentist · (701) 667-1933
Enumeration DateJanuary 25, 2011
✔ NPI 1891090668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ND · 1593
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.
1008 E MAIN ST, Mandan, ND 58554
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Other Identifiers 1

Medicaid41545ND

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH BRADY, DDS, PC
Dentist
1008 E MAIN ST
MANDAN, ND 58554
Morton County (701) 667-1933

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 Ideal Image Dentistry & Spa's NPI number?

The NPI number for Ideal Image Dentistry & Spa is 1891090668. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Ideal Image Dentistry & Spa located?

Ideal Image Dentistry & Spa is located at 1008 E Main St, Mandan, ND 58554. The listed phone number is (701) 667-1933.

What is Ideal Image Dentistry & Spa's specialty?

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

When was this NPI record last updated?

The NPPES record for Ideal Image Dentistry & Spa was last updated on January 25, 2011. 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.