| North Sioux Dental Clinic | |
|
101 Merrill Ave. North Sioux City SD 57049 | |
| (605) 232-8802 | |
| (605) 232-0973 |
| Full Name | North Sioux Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Merrill Ave., North Sioux City, South Dakota |
| Authorized Official Name and Position | Donald B Cork (GENERAL DENTIST) |
| Authorized Official Contact | 6052328802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Sioux Dental Clinic 101 Merrill Ave. Po Box 1010 North Sioux City SD 57049 Ph: (605) 232-8802 | North Sioux Dental Clinic 101 Merrill Ave. North Sioux City SD 57049 Ph: (605) 232-8802 |
| NPI Number | 1912048687 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912048687 | NPI | - | NPPES |
| 0722009 | Medicaid | IA | |
| 0989517 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M847 (South Dakota) | Primary |
Embrace Dentistry Dakota Dunes Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 383 W Steamboat Dr Ste 101, North Sioux City, SD 57049 Phone: 605-232-5898 Fax: 605-232-6844 |