IndividualActive
Brandon Locke
NPI 1902476385 · General Practice Dentistry · Minot, ND
Provider details
- NPI number
- 1902476385
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2438 (ND)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1015 S Broadway
Minot, ND 58701-4667
Phone: (701) 838-1123
Approximate (ZIP-level) locationGet directions
Mailing address
3425 15th St Se
Minot, ND 58701-6027
Additional practice locations (1)
- 3451 S Broadway Ste BMinot, ND 58701-7419Phone: (701) 858-0552
Registry dates
- Enumerated
- 2021-06-29
- Last updated
- 2023-04-07
- Certified
- 2021-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.