| Knutson Familty Dentistry Llp | |
|
1714 E Cherry St Vermillion SD 57069-5394 | |
| (605) 624-6291 | |
| (605) 624-9488 |
| Full Name | Knutson Familty Dentistry Llp |
|---|---|
| Speciality | Dentist |
| Location | 1714 E Cherry St, Vermillion, South Dakota |
| Authorized Official Name and Position | Richard Leonard Knutson (PARTNER IN LLP) |
| Authorized Official Contact | 6056246291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knutson Familty Dentistry Llp 1714 E Cherry St Vermillion SD 57069-5394 Ph: (605) 624-6291 | Knutson Familty Dentistry Llp 1714 E Cherry St Vermillion SD 57069-5394 Ph: (605) 624-6291 |
| NPI Number | 1134313091 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134313091 | NPI | - | NPPES |
| 7809990 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M457 (South Dakota) | Primary |
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