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DR. JEREMIAH J. GLOSENGER PC NPI 1649816828


NPI Information

NPI: 1649816828
Provider Name: DR. JEREMIAH J. GLOSENGER, PC

Doing Business As: NORTH DAKOTA ORAL SURGERY & DENTAL IMPLANT CENTER

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 35D2176659

Address:
2615 ELK DR STE 3
MINOT, ND
ZIP 58701
Phone: (701) 852-3421
Get Directions

DR. JEREMIAH J. GLOSENGER, PC is an oral and maxillofacial surgery clinic center in Minot, ND. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. JEREMIAH J. GLOSENGER, PC NPI is 1649816828. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Dakota Oral Surgery & Dental Implant Center.

The provider's business location address is:

2615 ELK DR STE 3
MINOT, ND
ZIP 58701-200
Phone: (701) 852-3421

The provider's authorized official is Jeremiah Glosenger .
The authorized official title is President and has the following contact phone number (701) 500-0476.

The CLIA number assigned to this NPI record is 35D2176659 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2019 and was last updated on 12/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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