Jackson Dental Prof. Llc | |
503 Jackson St Belle Fourche SD 57717 | |
(605) 892-6347 | |
(605) 892-9027 |
Full Name | Jackson Dental Prof. Llc |
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Speciality | Dentist |
Location | 503 Jackson St, Belle Fourche, South Dakota |
Authorized Official Name and Position | Christopher J Jackson (PRESIDENT) |
Authorized Official Contact | 6058926347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jackson Dental Prof. Llc 503 Jackson St Belle Fourche SD 57717 Ph: (605) 892-6347 | Jackson Dental Prof. Llc 503 Jackson St Belle Fourche SD 57717 Ph: (605) 892-6347 |
NPI Number | 1144394545 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 11/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144394545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | M525 (South Dakota) | Primary |
122300000X | Dentist | D0633 (South Dakota) | Secondary |
Nehl Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Railroad St, Belle Fourche, SD 57717 Phone: 605-892-3603 |