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

Great Plains Periodontics, PC

Organization Periodontics · NPI 1093954570

Great Plains Periodontics, PC is a Periodontics in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2009.

Licensed in
ND
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2838 S University Dr
Fargo, ND 58103-6030
Phone: (701) 293-0577
Fax: (701) 293-0910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 1786 (ND)

Record details

NPI number1093954570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Neils — President · (701) 293-0577
NPI enumeratedFebruary 6, 2009
Last updated in NPPESFebruary 6, 2009
Mailing address2838 South University Drive, Fargo, ND 58103-6030

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