| Kort Herman Dmd Pc | |
|
206 Ellison Ct Lead SD 57754-1758 | |
| (605) 584-2482 | |
| (605) 584-1790 |
| Full Name | Kort Herman Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Ellison Ct, Lead, South Dakota |
| Authorized Official Name and Position | Kort Herman (PRESIDENT) |
| Authorized Official Contact | 6055842482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kort Herman Dmd Pc 206 Ellison Ct Lead SD 57754-1758 Ph: (605) 584-2482 | Kort Herman Dmd Pc 206 Ellison Ct Lead SD 57754-1758 Ph: (605) 584-2482 |
| NPI Number | 1518318310 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518318310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1105 (South Dakota) | Primary |
Stone Northern Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Dunmire Dr, Lead, SD 57754 Phone: 605-584-2983 Fax: 605-571-2983 |