OrganizationActive
Pediatric Dentistry Ltd
NPI 1487882718 · Dentist · Fargo, ND
Pediatric Dentistry Ltd is a Dentist organization in Fargo, ND (NPI 1487882718).
Provider details
- NPI number
- 1487882718
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Travis Olson, President(701) 293-6999
- License
- 2032 (ND)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1205 16th Ave. South
Fargo, ND 58103
Phone: (701) 293-6999
Fax: (701) 235-2297
Street-level locationGet directions
Mailing address
1205 16th Ave. South
Fargo, ND 58103
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2009-06-25
Frequently asked questions
- What is Pediatric Dentistry Ltd's NPI number?
- Pediatric Dentistry Ltd's National Provider Identifier (NPI) is 1487882718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry Ltd?
- Pediatric Dentistry Ltd is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pediatric Dentistry Ltd located?
- Pediatric Dentistry Ltd's practice location on file with NPPES is 1205 16th Ave. South, Fargo, ND 58103.
- What is Pediatric Dentistry Ltd's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry Ltd is (701) 293-6999.
- Who is the authorized official for Pediatric Dentistry Ltd?
- The authorized official listed on Pediatric Dentistry Ltd's NPPES record is Travis Olson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry Ltd's NPI active?
- Yes — Pediatric Dentistry Ltd's NPI (1487882718) is active in the NPPES registry as of the last update on 2009-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.