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1101 Dental, Pllc

Dentist in Grand Forks, ND · enumerated 2011 · authorized official Heather Petricig, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750689030

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Registry record

Entity type Organization (Type 2)
Legal business name 1101 Dental, Pllc
Practice address 1101 S Columbia Rd, Unit B, Grand Forks, ND, 58201
Phone (701) 795-1101
Fax (701) 795-1102
Enumeration date Mar 10, 2011
Last updated in NPPES Mar 10, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License 2083 (ND) Primary

Authorized official

Name Heather Petricig
Title Owner/Dentist
Phone (701) 795-1101

Other identifiers

Identifier Type State Issuer
41566 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 1101 Dental, Pllc?
The NPI for 1101 Dental, Pllc is 1750689030, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 1101 Dental, Pllc?
NPPES lists Heather Petricig (Owner/Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-10.