Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1101 Dental, PLLC

Organization Dentist · NPI 1750689030

1101 Dental, PLLC is a Dentist in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2011.

Licensed in
ND
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1101 S Columbia Rd Unit B
Grand Forks, ND 58201-4055
Phone: (701) 795-1101
Fax: (701) 795-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2083 (ND)

Record details

NPI number1750689030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Petricig — Owner/Dentist · (701) 795-1101
NPI enumeratedMarch 10, 2011
Last updated in NPPESMarch 10, 2011
Mailing address1101 S Columbia Rd, Unit B, Grand Forks, ND 58201-4055

Other providers in Grand Forks