Donald B Cork Jr, DDS is a
Dentist - General Practice based in North Sioux City, South Dakota. Donald B Cork Jr is licensed to practice in South Dakota (license number M847) and his current practice location is
101 Merrill Ave, North Sioux City, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 232-8802.
NPI number for Donald B Cork Jr is 1346322716 and his current mailing address is 904 Wynstone Rd, Jefferson, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346322716.
Healthcare Provider's Profile
Full Name | Donald B Cork Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 101 Merrill Ave, North Sioux City, South Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346322716
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Donald B Cork Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346322716 | NPI | - | NPPES |
46044478613 | Medicaid | NE | |
46044478600 | Medicaid | SD | |
0989517 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | M847 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donald B Cork Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Donald B Cork Jr, DDS 904 Wynstone Rd, Jefferson, SD 57038-6868 Ph: (605) 422-1789 | Donald B Cork Jr, DDS 101 Merrill Ave, North Sioux City, SD 57049 Ph: (605) 232-8802 |
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