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

Mosaic Dermatology PLLC

Organization Dermatology Physician · NPI 1245051390

Mosaic Dermatology PLLC is a Dermatology Physician in West Fargo, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

567 32nd Ave E Ste 100
West Fargo, ND 58078-8480
Phone: (701) 941-3100
Fax: (701) 941-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1245051390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Montgomery — Owner · (312) 415-8615
NPI enumeratedOctober 22, 2024
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address567 32nd Ave E Ste 100, West Fargo, ND 58078-8480

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