| Dakota Center for Dental Sleep Medicine | |
|
2315 W 57th St Sioux Falls SD 57108-5041 | |
| (800) 996-7352 | |
| (605) 882-2196 |
| Full Name | Dakota Center for Dental Sleep Medicine |
|---|---|
| Speciality | Dentist |
| Location | 2315 W 57th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Darin M Bach (OWNER) |
| Authorized Official Contact | 8009967352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Center for Dental Sleep Medicine 600 4th St Ne Suite 207 Watertown SD 57201-1898 Ph: (800) 996-7352 | Dakota Center for Dental Sleep Medicine 2315 W 57th St Sioux Falls SD 57108-5041 Ph: (800) 996-7352 |
| NPI Number | 1245592112 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245592112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M936 (South Dakota) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (NU) | Secondary |
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