| Prairie Skies Family Dentristry | |
|
420 Front Street Brookings SD 57006 | |
| (605) 692-9555 | |
| (605) 692-0967 |
| Full Name | Prairie Skies Family Dentristry |
|---|---|
| Speciality | Dentist |
| Location | 420 Front Street, Brookings, South Dakota |
| Authorized Official Name and Position | Erik Wiseman (DENTIST / OWNER) |
| Authorized Official Contact | 6056929555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Skies Family Dentristry 420 Front Street Brookings SD 57006 Ph: (605) 692-9555 | Prairie Skies Family Dentristry 420 Front Street Brookings SD 57006 Ph: (605) 692-9555 |
| NPI Number | 1427428614 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 03/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427428614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 122300000X | Dentist | D0624 (South Dakota) | Secondary |
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