| Dwight W. Loudon Dds Pc | |
|
3005 S Phillips Ave Sioux Falls SD 57105-5720 | |
| (605) 338-7411 | |
| (605) 338-6368 |
| Full Name | Dwight W. Loudon Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3005 S Phillips Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Dwight William Loudon (PRESIDENT) |
| Authorized Official Contact | 6053387411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight W. Loudon Dds Pc 3005 S Phillips Ave Sioux Falls SD 57105-5720 Ph: (605) 338-7411 | Dwight W. Loudon Dds Pc 3005 S Phillips Ave Sioux Falls SD 57105-5720 Ph: (605) 338-7411 |
| NPI Number | 1497099501 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497099501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | M691 (South Dakota) | Primary |
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