| Oral Surgery Assocates, P.c. | |
|
301 Oak Tree Ln Dakota Dunes SD 57049-5095 | |
| (605) 242-0107 | |
| (605) 242-0145 |
| Full Name | Oral Surgery Assocates, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 301 Oak Tree Ln, Dakota Dunes, South Dakota |
| Authorized Official Name and Position | Clinton E Norby (OMFS/PRESIDENT) |
| Authorized Official Contact | 6052420107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Assocates, P.c. 301 Oak Tree Ln Dakota Dunes SD 57049-5095 Ph: (605) 242-0107 | Oral Surgery Assocates, P.c. 301 Oak Tree Ln Dakota Dunes SD 57049-5095 Ph: (605) 242-0107 |
| NPI Number | 1548304710 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548304710 | NPI | - | NPPES |
| 1548304710 | Medicaid | IA | |
| 1548304710 | Medicaid | SD | |
| 1548304710 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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