| Stone Northern Hills Dental | |
|
82 Dunmire Dr Lead SD 57754-1012 | |
| (605) 584-2983 | |
| (605) 571-2983 |
| Full Name | Stone Northern Hills Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 82 Dunmire Dr, Lead, South Dakota |
| Authorized Official Name and Position | Amy Rogers (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 6055842983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Northern Hills Dental 82 Dunmire Dr Lead SD 57754-1012 Ph: (605) 584-2983 | Stone Northern Hills Dental 82 Dunmire Dr Lead SD 57754-1012 Ph: (605) 584-2983 |
| NPI Number | 1508252503 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508252503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D0823 (South Dakota) | Primary |
| 1223G0001X | Dentist - General Practice | M456 (South Dakota) | Secondary |
Kort Herman Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Ellison Ct, Lead, SD 57754 Phone: 605-584-2482 Fax: 605-584-1790 |