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

Great Plains Periodontics, PC

Organization Periodontics · NPI 1093954570

Great Plains Periodontics, PC provides Periodontics 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2838 S University Dr
Fargo, ND 58103-6030 Not confirmed with CMS for 17 years — call before visiting
Phone: (701) 293-0577
Fax: (701) 293-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 1786 (ND)

Record details

NPI number1093954570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Neils — President · (701) 293-0577
NPI enumeratedFebruary 6, 2009
Last updated in NPPESFebruary 6, 2009
Mailing address2838 South University Drive, Fargo, ND 58103-6030

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