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

Northern Lights Dental

Organization Dentist · NPI 1790297430

Northern Lights Dental is a Dentist in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2017.

Licensed in
ND
In the registry since
2017

Practice location Address checks out

4150 19th Ave S Ste 301
Fargo, ND 58104
Phone: (701) 551-2000
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2162 (ND)

Record details

NPI number1790297430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Schmaltz — Managing Member · (701) 799-4898
NPI enumeratedNovember 3, 2017
Last updated in NPPESNovember 3, 2017
Mailing address325 Liberty Ln, Horace, ND 58047-4522

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