| Pierre Dental Clinic | |
|
640 E Sioux Ave Ste 1 Pierre SD 57501-3300 | |
| (605) 224-5355 | |
| (605) 224-4846 |
| Full Name | Pierre Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 640 E Sioux Ave Ste 1, Pierre, South Dakota |
| Authorized Official Name and Position | Murray Mckay Thompson (OWNER) |
| Authorized Official Contact | 6052245355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierre Dental Clinic 640 E Sioux Ave Ste 1 Pierre SD 57501-3300 Ph: (605) 224-5355 | Pierre Dental Clinic 640 E Sioux Ave Ste 1 Pierre SD 57501-3300 Ph: (605) 224-5355 |
| NPI Number | 1114514510 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114514510 | NPI | - | NPPES |
| 1316929904 | Other | SD | NPI NUMBER AS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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