| Platte Dental Clinic | |
|
601 E. 7th St. Ste #5 Platte SD 57369-0250 | |
| (605) 337-3810 | |
| (605) 337-2617 |
| Full Name | Platte Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 E. 7th St., Platte, South Dakota |
| Authorized Official Name and Position | Lance R. Griese (DDS) |
| Authorized Official Contact | 6053373810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platte Dental Clinic Po Box 250 601 E. 7th St. Ste #5 Platte SD 57369-0250 Ph: (605) 337-3810 | Platte Dental Clinic 601 E. 7th St. Ste #5 Platte SD 57369-0250 Ph: (605) 337-3810 |
| NPI Number | 1215204029 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215204029 | NPI | - | NPPES |
| 7805980 | Medicaid | SD | |
| 10025648200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M683 (South Dakota) | Primary |
| 1223G0001X | Dentist - General Practice | M925 (South Dakota) | Secondary |