| Shawd Neighborhood Dental Clinic Beresford P.c. | |
|
116 E Main St Beresford SD 57004-1819 | |
| (605) 763-5035 | |
| (605) 763-8036 |
| Full Name | Shawd Neighborhood Dental Clinic Beresford P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 E Main St, Beresford, South Dakota |
| Authorized Official Name and Position | Lynn D Olson (HR MANAGER) |
| Authorized Official Contact | 6057319599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawd Neighborhood Dental Clinic Beresford P.c. 116 E Main St Beresford SD 57004-1819 Ph: (605) 763-5035 | Shawd Neighborhood Dental Clinic Beresford P.c. 116 E Main St Beresford SD 57004-1819 Ph: (605) 763-5035 |
| NPI Number | 1467763995 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467763995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D0938 (South Dakota) | Primary |