Jill C Erickson
Dental Assistant
512 Cottonwood Dr
Casselton
, North Dakota 58012-3824
Jill C Erickson
Dental Assistant
512 Cottonwood Dr
Casselton
, North Dakota 58012-3824
(801) 717-5997
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jill C Erickson
- 512 Cottonwood Dr
- Casselton, ND
- Zip : 58012-3824
- Fax : (801) 717-5997
- Phone : (801) 717-5997
Second Address
- Jill C Erickson
- 512 Cottonwood Dr
- Casselton, ND
- Zip : 58012-3824
- Fax : (801) 717-5997
- Phone : (801) 717-5997
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1134300890 |
|---|---|
| Provider Name | Jill C Erickson |
| First Address | Casselton, ND 58012-3824 |
| Second Address | Casselton, ND 58012-3824 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2007 |
| Last Update Date | 21/11/2007 |
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.