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

Sanford Medical Center Fargo

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1750661054

Sanford Medical Center Fargo is an Oral & Maxillofacial Surgery (D.M.D.) in Fargo, North Dakota. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
15
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Practice location Address checks out

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Transplant Surgery Physician Taxonomy 204F00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Anesthesiology Physician Taxonomy 207L00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Anatomic Pathology Physician Taxonomy 207ZP0101X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1750661054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Broadway Clinic; Sanford Broadway Clinic
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address801 Broadway N, Fargo, ND 58102-3641

Other providers in Fargo