The Dental Clinic | |
621 2nd Street Bridgewater SD 57319 | |
(605) 729-2671 | |
(605) 729-2671 |
Full Name | The Dental Clinic |
---|---|
Speciality | Dentist - General Practice |
Location | 621 2nd Street, Bridgewater, South Dakota |
Authorized Official Name and Position | Amber A Determan (OWNER PARTNER) |
Authorized Official Contact | 6057292671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Dental Clinic Po Box 100 621 2nd Street Bridgewater SD 57319 Ph: (605) 729-2671 | The Dental Clinic 621 2nd Street Bridgewater SD 57319 Ph: (605) 729-2671 |
NPI Number | 1134330665 |
---|---|
Provider Enumeration Date | 05/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134330665 | NPI | - | NPPES |
7800550 | Medicaid | SD | |
7801500 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (South Dakota) | Primary |
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