| Isd National Clinic Llc | |
|
4320 S Minnesota Ave Sioux Falls SD 57105-6747 | |
| (605) 275-2009 | |
| (605) 884-9133 |
| Full Name | Isd National Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4320 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Brian Prouty (OWNER) |
| Authorized Official Contact | 6052752009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isd National Clinic Llc 856 Pompeska Dr Watertown SD 57201-5463 Ph: (605) 275-2009 | Isd National Clinic Llc 4320 S Minnesota Ave Sioux Falls SD 57105-6747 Ph: (605) 275-2009 |
| NPI Number | 1114796422 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114796422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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