| Madison Family Dental Prof Llc | |
|
502 Ne 2nd St Madison SD 57042 | |
| (605) 256-2670 | |
| (605) 256-3172 |
| Full Name | Madison Family Dental Prof Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 Ne 2nd St, Madison, South Dakota |
| Authorized Official Name and Position | Troy Larry Keyes (OWNER/DDS) |
| Authorized Official Contact | 6052562670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Family Dental Prof Llc 502 Ne 2nd St Madison SD 57042 Ph: (605) 256-2670 | Madison Family Dental Prof Llc 502 Ne 2nd St Madison SD 57042 Ph: (605) 256-2670 |
| NPI Number | 1184279036 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184279036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Madison Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Ne 2nd St, Madison, SD 57042 Phone: 605-256-2670 Fax: 605-256-3172 | |
Larry P. Green Dds Inc., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Egan Ave, Madison, SD 57042 Phone: 605-256-4969 Fax: 605-256-4717 | |
We Care Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 N Highland Ave, Madison, SD 57042 Phone: 605-256-6668 Fax: 605-256-9251 |