| Brookings Dental Clinic, Pc | |
|
2215 Derdall Dr Brookings SD 57006-2851 | |
| (605) 692-1222 | |
| Not Available |
| Full Name | Brookings Dental Clinic, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2215 Derdall Dr, Brookings, South Dakota |
| Authorized Official Name and Position | Geoffrey B Johnson (OFFICER) |
| Authorized Official Contact | 6056921222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookings Dental Clinic, Pc 2215 Derdall Dr Brookings SD 57006-2851 Ph: (605) 692-1222 | Brookings Dental Clinic, Pc 2215 Derdall Dr Brookings SD 57006-2851 Ph: (605) 692-1222 |
| NPI Number | 1265598742 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265598742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (South Dakota) | Primary |
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