Mcclellan-swanson Dental Clinc, Inc. | |
509 N Main St Mobridge SD 57601-2130 | |
(605) 845-7222 | |
(605) 845-5532 |
Full Name | Mcclellan-swanson Dental Clinc, Inc. |
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Speciality | Dentist - General Practice |
Location | 509 N Main St, Mobridge, South Dakota |
Authorized Official Name and Position | Marc Herbert Mcclellan (PARTNER-SHAREHOLDER) |
Authorized Official Contact | 16058457222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcclellan-swanson Dental Clinc, Inc. 509 N Main St Mobridge SD 57601-2130 Ph: (605) 845-7222 | Mcclellan-swanson Dental Clinc, Inc. 509 N Main St Mobridge SD 57601-2130 Ph: (605) 845-7222 |
NPI Number | 1326127572 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326127572 | NPI | - | NPPES |
7805820 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | M711 (South Dakota) | Primary |