| Benjamin L. Gates, DDS, Prof, LLC | |
|
305 Main Ave S Suite 2 Brookings SD 57006-3118 | |
| (605) 692-2820 | |
| (605) 692-9116 |
| Full Name | Benjamin L. Gates, DDS, Prof, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 Main Ave S, Brookings, South Dakota |
| Authorized Official Name and Position | Benjamin L Gates (DOCTOR) |
| Authorized Official Contact | 6056922820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin L. Gates, DDS, Prof, LLC 305 Main Ave S Suite 2 Brookings SD 57006-3118 Ph: (605) 692-2820 | Benjamin L. Gates, DDS, Prof, LLC 305 Main Ave S Suite 2 Brookings SD 57006-3118 Ph: (605) 692-2820 |
| NPI Number | 1780741413 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780741413 | NPI | - | NPPES |
| 7804650 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M641 (South Dakota) | Primary |
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