| David R Bolton DDS | |
|
2005 West 42nd Street Sioux Falls SD 57105 | |
| (605) 334-6865 | |
| (605) 334-7611 |
| Full Name | David R Bolton DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2005 West 42nd Street, Sioux Falls, South Dakota |
| Authorized Official Name and Position | David Richard Bolton (DENTIST OWNER) |
| Authorized Official Contact | 6053346865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Bolton DDS 2005 West 42nd Street Sioux Falls SD 57105 Ph: (605) 334-6865 | David R Bolton DDS 2005 West 42nd Street Sioux Falls SD 57105 Ph: (605) 334-6865 |
| NPI Number | 1811031651 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 09/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811031651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M407 (South Dakota) | Secondary |
| 1223G0001X | Dentist - General Practice | M407 (South Dakota) | Primary |
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