| Konard O. Hauffe, Dds, Pc | |
|
717 Main Ave Brookings SD 57006-1426 | |
| (605) 692-4715 | |
| (605) 692-2427 |
| Full Name | Konard O. Hauffe, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 717 Main Ave, Brookings, South Dakota |
| Authorized Official Name and Position | Konard O Hauffe (SOLE CORPORATION OWNER) |
| Authorized Official Contact | 6056924715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Konard O. Hauffe, Dds, Pc 717 Main Ave Brookings SD 57006-1426 Ph: (605) 692-4715 | Konard O. Hauffe, Dds, Pc 717 Main Ave Brookings SD 57006-1426 Ph: (605) 692-4715 |
| NPI Number | 1457493066 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457493066 | NPI | - | NPPES |
| 7806180 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M722 (South Dakota) | Primary |
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