Provider Demographics
NPI:1720290430
Name:FRANCIS H. ZECK, JR., DDS LTD
Entity Type:Organization
Organization Name:FRANCIS H. ZECK, JR., DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:ZECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-683-5821
Mailing Address - Street 1:513 MAIN STREET
Mailing Address - Street 2:PO BOX 947
Mailing Address - City:LISBON
Mailing Address - State:ND
Mailing Address - Zip Code:58054-0947
Mailing Address - Country:US
Mailing Address - Phone:701-683-5821
Mailing Address - Fax:
Practice Address - Street 1:513 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:ND
Practice Address - Zip Code:58054-0947
Practice Address - Country:US
Practice Address - Phone:701-683-5821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDND 1580261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN5067Medicaid
ND40310Medicare ID - Type Unspecified