Parkside Dental | |
910 N Main Ave Suite 101 Tea SD 57064-0580 | |
(605) 498-4746 | |
(605) 498-9012 |
Full Name | Parkside Dental |
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Speciality | Dentist |
Location | 910 N Main Ave, Tea, South Dakota |
Authorized Official Name and Position | Melissa Ann Brandner (OWNER) |
Authorized Official Contact | 6054984746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parkside Dental Po Box 580 Tea SD 57064-0580 Ph: (605) 498-4746 | Parkside Dental 910 N Main Ave Suite 101 Tea SD 57064-0580 Ph: (605) 498-4746 |
NPI Number | 1518355841 |
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Provider Enumeration Date | 01/09/2015 |
Last Update Date | 01/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518355841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Precision Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 N Main Ave Ste 101, Tea, SD 57064 Phone: 605-498-4746 Fax: 605-498-9012 | |
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Nicholas J. Shawd D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 E. Kevin Dr., Ste. 101, Tea, SD 57064 Phone: 605-498-5907 | |
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