Healthcare Provider Details

I. General information

NPI: 1720290430
Provider Name (Legal Business Name): FRANCIS H. ZECK, JR., DDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 MAIN STREET
LISBON ND
58054-0947
US

IV. Provider business mailing address

513 MAIN STREET PO BOX 947
LISBON ND
58054-0947
US

V. Phone/Fax

Practice location:
  • Phone: 701-683-5821
  • Fax:
Mailing address:
  • Phone: 701-683-5821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberND 1580
License Number StateND

VIII. Authorized Official

Name: DR. FRANCIS HARRY ZECK JR.
Title or Position: PRESIDENT
Credential: DDS
Phone: 701-683-5821