Provider Demographics
NPI:1538280904
Name:DOHMS, DALE W (DMD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:W
Last Name:DOHMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 CROSSING ST SW STE B
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-8559
Mailing Address - Country:US
Mailing Address - Phone:701-852-2300
Mailing Address - Fax:701-852-2301
Practice Address - Street 1:3725 CROSSING ST SW STE B
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-8559
Practice Address - Country:US
Practice Address - Phone:701-852-4933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND14391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice