Healthcare Provider Details

I. General information

NPI: 1558754036
Provider Name (Legal Business Name): CRISTOPHER TURMAN P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 BEAVER AVE
WISHEK ND
58495-7033
US

IV. Provider business mailing address

PO BOX 430
LINTON ND
58552-0430
US

V. Phone/Fax

Practice location:
  • Phone: 701-452-2115
  • Fax:
Mailing address:
  • Phone: 701-254-4521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number1971
License Number StateND

VIII. Authorized Official

Name: CRISTOPHER TURMAN
Title or Position: DDS
Credential:
Phone: 701-254-4521