| Northeastern Dental Center | |
|
3015 6th Ave Se Suite 12 Aberdeen SD 57401-5460 | |
| (605) 226-3939 | |
| (605) 226-3428 |
| Full Name | Northeastern Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3015 6th Ave Se, Aberdeen, South Dakota |
| Authorized Official Name and Position | Gregg Edward Van Beek (DENTIST OWNER) |
| Authorized Official Contact | 6052263939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Dental Center 3015 6th Ave Se Northeastern Dental Center Suite 12 Aberdeen SD 57401-5460 Ph: (605) 226-3939 | Northeastern Dental Center 3015 6th Ave Se Suite 12 Aberdeen SD 57401-5460 Ph: (605) 226-3939 |
| NPI Number | 1356452916 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356452916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M664 (South Dakota) | Primary |
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