Dr. Jared B Gill
Orthodontists
4401 23rd Ave S
Fargo
, North Dakota 83402
Dr. Jared B Gill
Orthodontists
4401 23rd Ave S
Fargo
, North Dakota 83402
(701) 232-1500
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jared B Gill
- 4401 23rd Ave S
- Fargo, ND
- Zip : 58104
- Phone : (701) 232-1500
Second Address
- Dr. Jared B Gill
- 4401 23rd Ave S
- Fargo, ND
- Zip : 83402
- Phone : (701) 232-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | D-3818 OR | ID |
National Provider Identifier
| NPI | 1043441363 |
|---|---|
| Provider Name | Dr. Jared B Gill |
| First Address | Fargo, ND 58104 |
| Second Address | Fargo, ND 83402 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2009 |
| Last Update Date | 20/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.