| Nicholas J. Shawd D.d.s., P.c. | |
|
725 E. Kevin Dr. Ste. 101 Tea SD 57064 | |
| (605) 498-5907 | |
| Not Available |
| Full Name | Nicholas J. Shawd D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 E. Kevin Dr., Tea, South Dakota |
| Authorized Official Name and Position | Nicholas J Shawd (PRESIDENT) |
| Authorized Official Contact | 6054985907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas J. Shawd D.d.s., P.c. 725 E. Kevin Dr. Ste. 101 Tea SD 57064 Ph: () - | Nicholas J. Shawd D.d.s., P.c. 725 E. Kevin Dr. Ste. 101 Tea SD 57064 Ph: (605) 498-5907 |
| NPI Number | 1508078684 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508078684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M993 (South Dakota) | Primary |
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