| Watertown Dental Care, Pllc | |
|
2315 W 57th St Sioux Falls SD 57108-5046 | |
| (605) 882-0747 | |
| Not Available |
| Full Name | Watertown Dental Care, Pllc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2315 W 57th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Darin M Bach (PRESIDENT/OWNER) |
| Authorized Official Contact | 6058820747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watertown Dental Care, Pllc 600 4th St Ne Ste 207 Watertown SD 57201-1898 Ph: (605) 882-0747 | Watertown Dental Care, Pllc 2315 W 57th St Sioux Falls SD 57108-5046 Ph: (605) 882-0747 |
| NPI Number | 1982310918 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 4284066853 |
|---|---|
| Medicare Enrollment ID | O20230629001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982310918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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