Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083907133 Individual Practitioner Male Practitioner

Dr. Ian Alexander Liskiewicz , DDS

Dentist - General Practice • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Ian Liskiewicz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fargo, ND. Practice services are available at 2101 ELM ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 Elm St N

Fargo, ND 581022417

Telephone 7012393700
Fax 7012372497
Associated Practice Facility / Clinic
🏢 Fargo Vamc Facility NPI 1700844636

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Fargo, ND (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901020398

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erica Muchow , RN

Registered Nurse

NPI 1003362427

Registered Nurse

Kevin Mccarvel , RN

Registered Nurse - Ambulatory Care

NPI 1003620477

Registered Nurse

Tyna Halvorson , LPN

Licensed Practical Nurse

NPI 1003789843

Licensed Practical Nurse

Kimberly Skog , CNMT

Radiologic Technologist - Nuclear Medicine Technology

NPI 1013721794
Samantha Shapiro

Orthotic Fitter

NPI 1013868603
Dr. Stephen Lee , MD

Emergency Medicine

NPI 1013940907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2025

Dentist (License #2901020398 in MI)

📍
Updated Practice Location March 10, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

📍
Updated Business Mailing Address March 10, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2015

Registered at 181 EMMETT ST W, BATTLE CREEK, MI 490372963 (Tel: 2699654773)

📍
Updated Business Mailing Address June 11, 2015

Registered at 181 EMMETT ST W, BATTLE CREEK, MI 490372963 (Tel: 2699662600)

👤
Provider Name / Credentials Updated June 11, 2015

Recorded as IAN LISKIEWICZ, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Dentist (License #2901020398 in MI)

🟢
Initial NPI Registration & Enumeration May 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083907133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2011
Last Update: November 26, 2025
Sole Proprietor: No

Mailing Address

2101 Elm St N

Fargo, ND 581022417

Phone: 7012393700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.