| Prouty Brookings Dental, Llc | |
|
2220 Yorkshire Dr Brookings SD 57006-2442 | |
| (605) 697-6262 | |
| (605) 692-1521 |
| Full Name | Prouty Brookings Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2220 Yorkshire Dr, Brookings, South Dakota |
| Authorized Official Name and Position | Brian Kelly Prouty (OWNER) |
| Authorized Official Contact | 6058868394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prouty Brookings Dental, Llc 2220 Yorkshire Dr Brookings SD 57006-2442 Ph: (605) 697-6262 | Prouty Brookings Dental, Llc 2220 Yorkshire Dr Brookings SD 57006-2442 Ph: (605) 697-6262 |
| NPI Number | 1538510482 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538510482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M983 (South Dakota) | Primary |
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