| Benjamin T. Knutzen DDS, PC | |
|
2311 Yorkshire Dr Suite A Brookings SD 57006-2446 | |
| (605) 692-9463 | |
| (605) 692-3951 |
| Full Name | Benjamin T. Knutzen DDS, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2311 Yorkshire Dr, Brookings, South Dakota |
| Authorized Official Name and Position | Benjamin Thomas Knutzen (PRESIDENT) |
| Authorized Official Contact | 6056929463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin T. Knutzen DDS, PC 2311 Yorkshire Dr Suite A Brookings SD 57006-2446 Ph: (605) 692-9463 | Benjamin T. Knutzen DDS, PC 2311 Yorkshire Dr Suite A Brookings SD 57006-2446 Ph: (605) 692-9463 |
| NPI Number | 1730380536 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730380536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D0402 (South Dakota) | Primary |
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