| Shawd Harrisburg Dental Clinic Pc | |
|
220 S Cliff Ave Suite 104 Harrisburg SD 57032-0160 | |
| (605) 767-0285 | |
| Not Available |
| Full Name | Shawd Harrisburg Dental Clinic Pc |
|---|---|
| Speciality | Dentist |
| Location | 220 S Cliff Ave, Harrisburg, South Dakota |
| Authorized Official Name and Position | Mike John Scott (OWNER) |
| Authorized Official Contact | 6057595583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawd Harrisburg Dental Clinic Pc 220 S Cliff Ave Suite 104 Harrisburg SD 57032-0160 Ph: (605) 767-0285 | Shawd Harrisburg Dental Clinic Pc 220 S Cliff Ave Suite 104 Harrisburg SD 57032-0160 Ph: (605) 767-0285 |
| NPI Number | 1912128026 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912128026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D0604 (South Dakota) | Primary |
Harrisburg Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 N. Cliff Ave, Suite 2, Harrisburg, SD 57032 Phone: 605-213-1230 |