| General Dentistry | |
|
3508 S Minnesota Ave Ste 108 Sioux Falls SD 57105-6455 | |
| (605) 339-1381 | |
| Not Available |
| Full Name | General Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3508 S Minnesota Ave Ste 108, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Katie Reardon (DENTIST - OWNER) |
| Authorized Official Contact | 6053391381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Dentistry 3508 S Minnesota Ave Ste 108 Sioux Falls SD 57105-6455 Ph: (605) 339-1381 | General Dentistry 3508 S Minnesota Ave Ste 108 Sioux Falls SD 57105-6455 Ph: (605) 339-1381 |
| NPI Number | 1255752291 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255752291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D0950 (South Dakota) | Primary |
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