| Gregg Van Beek Dds Pc | |
|
102 8th Ave S Faulkton SD 57438-2115 | |
| (605) 598-4452 | |
| (605) 598-4280 |
| Full Name | Gregg Van Beek Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 8th Ave S, Faulkton, South Dakota |
| Authorized Official Name and Position | Gregg Van Beek (OWNER) |
| Authorized Official Contact | 6052263939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Van Beek Dds Pc Po Box 534 Faulkton SD 57438-0534 Ph: (605) 598-4452 | Gregg Van Beek Dds Pc 102 8th Ave S Faulkton SD 57438-2115 Ph: (605) 598-4452 |
| NPI Number | 1932418480 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932418480 | NPI | - | NPPES |
| 7805395 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M664 (South Dakota) | Primary |