| Michael D. Homer D.m.d., P.c. | |
|
3500 S Kiwanis Ave Suite 100 Sioux Falls SD 57105-8119 | |
| (605) 336-3446 | |
| (605) 373-9269 |
| Full Name | Michael D. Homer D.m.d., P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3500 S Kiwanis Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Michael D. Homer (PRESIDENT AND CEO) |
| Authorized Official Contact | 6053363446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Homer D.m.d., P.c. 3500 S Kiwanis Ave Suite 100 Sioux Falls SD 57105-8119 Ph: (605) 336-3446 | Michael D. Homer D.m.d., P.c. 3500 S Kiwanis Ave Suite 100 Sioux Falls SD 57105-8119 Ph: (605) 336-3446 |
| NPI Number | 1013139393 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013139393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D0509 (South Dakota) | Primary |
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