Kopf Dental Group | |
11 Court St Vermillion SD 57069-3056 | |
(605) 624-8695 | |
Not Available |
Full Name | Kopf Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 11 Court St, Vermillion, South Dakota |
Authorized Official Name and Position | Zachary Kopf (OWNER-DOCTOR) |
Authorized Official Contact | 4023710886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kopf Dental Group 11 Court St Po Box 356 Vermillion SD 57069-3056 Ph: (605) 624-8695 | Kopf Dental Group 11 Court St Vermillion SD 57069-3056 Ph: (605) 624-8695 |
NPI Number | 1952763849 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 03/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952763849 | NPI | - | NPPES |
100260168-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 597 (South Dakota) | Primary |
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