| Brian K Prouty Dds, Pc | |
|
600 4th St Ne Ste 102 Watertown SD 57201-1898 | |
| (605) 886-8394 | |
| (605) 886-5209 |
| Full Name | Brian K Prouty Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 600 4th St Ne, Watertown, South Dakota |
| Authorized Official Name and Position | Brian K Prouty (OWNER) |
| Authorized Official Contact | 6058868394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K Prouty Dds, Pc 856 Pompeska Dr. Watertown SD 57201 Ph: (605) 884-4363 | Brian K Prouty Dds, Pc 600 4th St Ne Ste 102 Watertown SD 57201-1898 Ph: (605) 886-8394 |
| NPI Number | 1548480965 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548480965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M983 (South Dakota) | Primary |
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