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88 Charles St Deadwood SD 57732-1303 | |
(605) 578-3810 | |
(605) 578-3812 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 88 Charles St, Deadwood, South Dakota |
Authorized Official Name and Position | Dennis M. Mills (DENTIST) |
Authorized Official Contact | 6055783810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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88 Charles St Deadwood SD 57732-1303 Ph: (605) 578-3810 | 88 Charles St Deadwood SD 57732-1303 Ph: (605) 578-3810 |
NPI Number | 1659577757 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 07/17/2007 |
Identifier | Type | State | Issuer |
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1659577757 | NPI | - | NPPES |
7809990 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | M395 (South Dakota) | Primary |