| Pierre Dental Clinic | |
|
640 E. Sioux Ave Pierre SD 57501 | |
| (605) 224-5355 | |
| (605) 224-4846 |
| Full Name | Pierre Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 640 E. Sioux Ave, Pierre, South Dakota |
| Authorized Official Name and Position | Monty D. Bechtold (CO-OWNER) |
| Authorized Official Contact | 6052245355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierre Dental Clinic 640 E. Sioux Ave Pierre SD 57501 Ph: (605) 224-5355 | Pierre Dental Clinic 640 E. Sioux Ave Pierre SD 57501 Ph: (605) 224-5355 |
| NPI Number | 1508164401 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508164401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M583 (South Dakota) | Primary |
| 1223G0001X | Dentist - General Practice | D0513 (South Dakota) | Secondary |
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