Provider Demographics
NPI:1336268515
Name:TURNER DENTAL OFFICE PC
Entity Type:Organization
Organization Name:TURNER DENTAL OFFICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT TURNER DENTAL OFFICE PC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-411-3821
Mailing Address - Street 1:4 THIRD STREET NE
Mailing Address - Street 2:BOX 99
Mailing Address - City:ROLLA
Mailing Address - State:ND
Mailing Address - Zip Code:58367-0099
Mailing Address - Country:US
Mailing Address - Phone:701-477-3821
Mailing Address - Fax:701-477-8291
Practice Address - Street 1:4 3RD ST. NE
Practice Address - Street 2:BOX 99
Practice Address - City:ROLLA
Practice Address - State:ND
Practice Address - Zip Code:58367-0099
Practice Address - Country:US
Practice Address - Phone:701-477-3821
Practice Address - Fax:701-477-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty