Provider Demographics
NPI:1164703559
Name:OVSEPIAN, NAREK (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAREK
Middle Name:
Last Name:OVSEPIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:WATFORD CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58854-0525
Mailing Address - Country:US
Mailing Address - Phone:701-842-6197
Mailing Address - Fax:701-842-6199
Practice Address - Street 1:324 3RD ST NW
Practice Address - Street 2:
Practice Address - City:WATFORD CITY
Practice Address - State:ND
Practice Address - Zip Code:58854
Practice Address - Country:US
Practice Address - Phone:701-842-6197
Practice Address - Fax:701-842-6199
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60486122300000X
ND2150122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist