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

Prairie Oral Surgery Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598763120

Prairie Oral Surgery Ltd is an Oral and Maxillofacial Surgery (Dentist) in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2005.

Licensed in
ND
In the registry since
2005
Specialties on file
2
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

2585 23rd Ave S Ste A
Fargo, ND 58103
Phone: (701) 478-4404
Fax: (701) 478-4407
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X (ND)

Record details

NPI number1598763120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Jaroszewski — Finance Coordinator · (701) 478-4404
NPI enumeratedJuly 8, 2005
Last updated in NPPESJuly 21, 2022
Certification dateDecember 6, 2021
Mailing address2585 23rd Ave S, Ste. A., Fargo, ND 58104

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