| Embrace Clear Lake Llc | |
|
210 3rd Ave South Clear Lake SD 57226 | |
| (605) 874-2230 | |
| (605) 657-0054 |
| Full Name | Embrace Clear Lake Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 3rd Ave South, Clear Lake, South Dakota |
| Authorized Official Name and Position | Brian Prouty (OWNER) |
| Authorized Official Contact | 6058742230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Clear Lake Llc 210 3rd Ave South Clear Lake SD 57226 Ph: (605) 874-2230 | Embrace Clear Lake Llc 210 3rd Ave South Clear Lake SD 57226 Ph: (605) 874-2230 |
| NPI Number | 1639948482 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639948482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Martin H Oleson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 South Third Ave., Clear Lake, SD 57226 Phone: 605-874-2230 Fax: 605-874-2675 | |
Clear Lake Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 3rd Ave South, Clear Lake, SD 57226 Phone: 605-874-2230 Fax: 605-874-2675 |