| Mcclellan-swanson Dental Clinc, Inc. | |
|
509 N Main St Mobridge SD 57601-2130 | |
| (605) 845-7222 | |
| (605) 845-5532 |
| Full Name | Mcclellan-swanson Dental Clinc, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 N Main St, Mobridge, South Dakota |
| Authorized Official Name and Position | Marc Herbert Mcclellan (PARTNER-SHAREHOLDER) |
| Authorized Official Contact | 16058457222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclellan-swanson Dental Clinc, Inc. 509 N Main St Mobridge SD 57601-2130 Ph: (605) 845-7222 | Mcclellan-swanson Dental Clinc, Inc. 509 N Main St Mobridge SD 57601-2130 Ph: (605) 845-7222 |
| NPI Number | 1326127572 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326127572 | NPI | - | NPPES |
| 7805820 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M711 (South Dakota) | Primary |