Jeff Fordice DDS LLC
Dentist, General Practice in Fairmont, MN. Organization (NPI-2).
NPI number1417227828
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1417227828
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeff Fordice DDS LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2012
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D9297 | MN | Yes |
Practice location
1120 Birch StFairmont, MN 56031-4418
Phone 507-238-4276
Mailing address
1120 Birch StFairmont, MN 56031-4418
Phone 507-238-4276
Authorized official
Jeff Fordice
Owner
5072384276
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Other General Practice Dentistry providers in Fairmont, MN
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- Taylor Forstner, DDSNPI 1598685109
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- Thomas Joe Larson, DDSNPI 1417099813
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All 12 General Practice Dentistry providers in Fairmont · All 289 providers in Fairmont
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