Dr. Caitlin Spacek, DDS
Dentist, General Practice in Moorhead, MN. Individual provider (NPI-1).
NPI number1336765254
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1336765254
- Entity type
- Individual (NPI-1)
- Name
- Dr. Caitlin Spacek
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2404 | ND | Yes |
| 122300000X | Dentist | D14526 | MN |
Practice location
2704 12th St SMoorhead, MN 56560-4621
Phone 218-233-0570
Mailing address
1650 45th St S Ste 108Fargo, ND 58103-3247
Phone 701-526-4652
Other practice locations
3300 32nd Ave S
Grand Forks, ND 58201-5801
Grand Forks, ND 58201-5801
Phone 701-765-3494
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