S. William Rockino, Dds | |
105 3rd St Ne Lake Preston SD 57249 | |
(605) 847-4600 | |
Not Available |
Full Name | S. William Rockino, Dds |
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Speciality | Clinic/center - Dental |
Location | 105 3rd St Ne, Lake Preston, South Dakota |
Authorized Official Name and Position | Samuel William Rockino (OWNER/PROVIDER) |
Authorized Official Contact | 6058474600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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S. William Rockino, Dds Po Box 485 Lake Preston SD 57249-0485 Ph: (605) 847-4600 | S. William Rockino, Dds 105 3rd St Ne Lake Preston SD 57249 Ph: (605) 847-4600 |
NPI Number | 1639574601 |
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Provider Enumeration Date | 11/03/2014 |
Last Update Date | 11/03/2014 |
Identifier | Type | State | Issuer |
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1639574601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | M377 (South Dakota) | Primary |