Organization · Type 2 NPI
Wisdom Tooth PLLC
Oral and Maxillofacial Surgery (Dentist) · Fargo, ND
NPI number
1194679704
Active
Practice location
5675 26th Ave S Ste 116
Fargo, ND 58104-8599
Fax (701) 929-5441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Fargo
About NPI 1194679704
Wisdom Tooth PLLC's National Provider Identifier is 1194679704, issued on Feb 23, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fargo, ND. The record was last updated on Feb 23, 2026.