Dr Gary C Stormo, DDS is a
Dentist - General Practice based in Pine Ridge, South Dakota. Dr Gary C Stormo is licensed to practice in South Dakota (license number M 333) and his current practice location is
East Highway 18, Pine Ridge, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 867-3078.
NPI number for Dr Gary C Stormo is 1669445920 and his current mailing address is 6080 Alpine Ct, Rapid City, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669445920.
Healthcare Provider's Profile
| Full Name | Dr Gary C Stormo |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | East Highway 18, Pine Ridge, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669445920
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gary C Stormo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669445920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | M 333 (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. Dr Gary C Stormo 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 |
|---|
Dr Gary C Stormo, DDS
6080 Alpine Ct,
Rapid City, SD 57702-8837
Ph: (605) 348-4907 | Dr Gary C Stormo, DDS
East Highway 18,
Pine Ridge, SD 57770
Ph: (605) 867-3078 |
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