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James Michael Ukestad, DDS

Dentist in Jamestown, ND. Individual provider (NPI-1).

NPI number1417153115
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1417153115
Entity type
Individual (NPI-1)
Name
James Michael Ukestad
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist1756NDYes

Practice location

1209 Fifth Avenue Southeast
Jamestown, ND 58401

Phone 701-252-0141

Mailing address

2107 Fourth Street Northeast
Jamestown, ND 58401

Phone 701-251-1791

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