| Clark Family Dental Center, Llc | |
|
415 1st Ave W Clark SD 57225-1320 | |
| (605) 532-3636 | |
| Not Available |
| Full Name | Clark Family Dental Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 1st Ave W, Clark, South Dakota |
| Authorized Official Name and Position | Craig Dean Spieker (PARTNER) |
| Authorized Official Contact | 6055323636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Family Dental Center, Llc 415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 | Clark Family Dental Center, Llc 415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 |
| NPI Number | 1891201018 |
|---|---|
| Provider Enumeration Date | 12/26/2017 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DL141108 (South Dakota) | Primary |
Clark Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 1st Ave W, Clark, SD 57225 Phone: 605-532-3636 Fax: 605-532-3934 |