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

Pediatric Dentistry Ltd

Organization Dentist · NPI 1487882718

Pediatric Dentistry Ltd is a Dentist 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?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1205 16th Ave S
Fargo, ND 58103
Phone: (701) 293-6999
Fax: (701) 235-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2032 (ND)

Record details

NPI number1487882718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Olson — President · (701) 293-6999
NPI enumeratedJune 25, 2009
Last updated in NPPESJune 25, 2009
Mailing address1205 16th Ave. South, Fargo, ND 58103

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