| Desmet Dental Service | |
|
801 3rd Street Sw Desmet SD 57231 | |
| (605) 854-3444 | |
| Not Available |
| Full Name | Desmet Dental Service |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 801 3rd Street Sw, Desmet, South Dakota |
| Authorized Official Name and Position | John Mengenhausen (CEO) |
| Authorized Official Contact | 6057724525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desmet Dental Service 801 3rd Street Sw Desmet SD 57231 Ph: (605) 854-3444 | Desmet Dental Service 801 3rd Street Sw Desmet SD 57231 Ph: (605) 854-3444 |
| NPI Number | 1912011941 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912011941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |