| Canton Dental Clinic | |
|
1110 W 5th St Canton SD 57013-1543 | |
| (605) 987-2721 | |
| Not Available |
| Full Name | Canton Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1110 W 5th St, Canton, South Dakota |
| Authorized Official Name and Position | Chris J Diaz-freed (DENTIST) |
| Authorized Official Contact | 6059872721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Dental Clinic 1110 W 5th St Canton SD 57013-1543 Ph: (605) 987-2721 | Canton Dental Clinic 1110 W 5th St Canton SD 57013-1543 Ph: (605) 987-2721 |
| NPI Number | 1619412384 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619412384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1004 (South Dakota) | Primary |
Canton Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th St, Canton, SD 57013 Phone: 605-987-2721 Fax: 605-987-3312 | |
Chad S Lewison, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th St, Canton, SD 57013 Phone: 605-764-3179 Fax: 605-764-3181 | |
South Dakota Dental Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th St, Canton, SD 57013 Phone: 605-987-2721 |