| S. William Rockino, Dds | |
|
105 3rd St Ne Lake Preston SD 57249 | |
| (605) 847-4600 | |
| Not Available |
| Full Name | S. William Rockino, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 3rd St Ne, Lake Preston, South Dakota |
| Authorized Official Name and Position | Samuel William Rockino (OWNER/PROVIDER) |
| Authorized Official Contact | 6058474600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. William Rockino, Dds Po Box 485 Lake Preston SD 57249-0485 Ph: (605) 847-4600 | S. William Rockino, Dds 105 3rd St Ne Lake Preston SD 57249 Ph: (605) 847-4600 |
| NPI Number | 1639574601 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639574601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | M377 (South Dakota) | Primary |