| Northern Plains Endodontics, Pllc | |
|
4824 E 57th St Sioux Falls SD 57108-8614 | |
| (319) 610-5747 | |
| (605) 961-9093 |
| Full Name | Northern Plains Endodontics, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4824 E 57th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Zachary Goettsche (OWNER DENTIST) |
| Authorized Official Contact | 6059619092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Plains Endodontics, Pllc 4824 E 57th St Sioux Falls SD 57108-8614 Ph: (605) 961-9092 | Northern Plains Endodontics, Pllc 4824 E 57th St Sioux Falls SD 57108-8614 Ph: (319) 610-5747 |
| NPI Number | 1073189866 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073189866 | NPI | - | NPPES |
| 14275005056 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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