| Impact Dental | |
|
108 S Minnesota Ave Sioux Falls SD 57104-6414 | |
| (605) 799-2525 | |
| Not Available |
| Full Name | Impact Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 108 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Anthony Olson (OWNER) |
| Authorized Official Contact | 6057992525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Dental 108 S Minnesota Ave Sioux Falls SD 57104-6414 Ph: (605) 799-2525 | Impact Dental 108 S Minnesota Ave Sioux Falls SD 57104-6414 Ph: (605) 799-2525 |
| NPI Number | 1376352500 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376352500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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