Northeastern Dental Center | |
3015 6th Ave Se Suite #12 Aberdeen SD 57401-5461 | |
(605) 226-3939 | |
(605) 226-3428 |
Full Name | Northeastern Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 3015 6th Ave Se, Aberdeen, South Dakota |
Authorized Official Name and Position | Gregg Van Beek (OWNER) |
Authorized Official Contact | 6052263939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northeastern Dental Center 3015 6th Ave Se Suite #12 Aberdeen SD 57401-5461 Ph: (605) 226-3939 | Northeastern Dental Center 3015 6th Ave Se Suite #12 Aberdeen SD 57401-5461 Ph: (605) 226-3939 |
NPI Number | 1932403938 |
---|---|
Provider Enumeration Date | 01/05/2011 |
Last Update Date | 01/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932403938 | NPI | - | NPPES |
7805395 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | M664 (South Dakota) | Primary |
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Northeastern Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 6th Ave Se, Suite 12, Aberdeen, SD 57401 Phone: 605-226-3939 Fax: 605-226-3428 |