| Blake Hult DDS PLLC | |
|
415 16th Ave Ne Watertown SD 57201-8688 | |
| (605) 886-2222 | |
| Not Available |
| Full Name | Blake Hult DDS PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 16th Ave Ne, Watertown, South Dakota |
| Authorized Official Name and Position | Blake Franklin Hult (DENTIST) |
| Authorized Official Contact | 6058801461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Hult DDS PLLC 415 16th Ave Ne Watertown SD 57201-8688 Ph: (605) 886-2222 | Blake Hult DDS PLLC 415 16th Ave Ne Watertown SD 57201-8688 Ph: (605) 886-2222 |
| NPI Number | 1922797414 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922797414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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