| Maher Dental Clinic, Prof. Llc | |
|
401 E Sioux Ave Pierre SD 57501-3162 | |
| (605) 224-8858 | |
| (605) 224-8859 |
| Full Name | Maher Dental Clinic, Prof. Llc |
|---|---|
| Speciality | Dentist |
| Location | 401 E Sioux Ave, Pierre, South Dakota |
| Authorized Official Name and Position | Jamie E Maher (PRESIDENT) |
| Authorized Official Contact | 6052248858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maher Dental Clinic, Prof. Llc 401 E Sioux Ave Pierre SD 57501-3162 Ph: (605) 224-8858 | Maher Dental Clinic, Prof. Llc 401 E Sioux Ave Pierre SD 57501-3162 Ph: (605) 224-8858 |
| NPI Number | 1093840969 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093840969 | NPI | - | NPPES |
| 7809990 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M994 (South Dakota) | Primary |
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