Provider Demographics
NPI:1700921913
Name:DENTAL ASSOCIATES INC
Entity Type:Organization
Organization Name:DENTAL ASSOCIATES INC
Other - Org Name:DR MICHAEL MAIER
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-663-7545
Mailing Address - Street 1:P.O. BOX 907
Mailing Address - Street 2:204 3RD AVE NW
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554
Mailing Address - Country:US
Mailing Address - Phone:701-663-7545
Mailing Address - Fax:701-663-6174
Practice Address - Street 1:204 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554
Practice Address - Country:US
Practice Address - Phone:701-663-7545
Practice Address - Fax:701-663-6174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1456122300000X
ND1706122300000X
ND1466122300000X
ND2050122300000X
ND2104122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty