| Hartford Dental Clinic, P.c. | |
|
304 W. Hwy 38 Suite #138 Hartford SD 57033-0757 | |
| (605) 528-6750 | |
| (605) 528-6752 |
| Full Name | Hartford Dental Clinic, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 304 W. Hwy 38 Suite #138, Hartford, South Dakota |
| Authorized Official Name and Position | Scott Mark Mattheis (PRESIDENT) |
| Authorized Official Contact | 6055286750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Dental Clinic, P.c. Po Box 757 304 W. Hwy 38 Suite #138 Hartford SD 57033-0757 Ph: (605) 528-6750 | Hartford Dental Clinic, P.c. 304 W. Hwy 38 Suite #138 Hartford SD 57033-0757 Ph: (605) 528-6750 |
| NPI Number | 1962830455 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962830455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M-733 (South Dakota) | Primary |