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1100 Broadway Ave Yankton SD 57078-2927 | |
| (605) 668-2273 | |
| (605) 668-2273 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Broadway Ave, Yankton, South Dakota |
| Authorized Official Name and Position | William Reardon (DENTIST) |
| Authorized Official Contact | 6056682273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1100 Broadway Ave Po Box 573 Yankton SD 57078-2927 Ph: (605) 668-2273 | 1100 Broadway Ave Yankton SD 57078-2927 Ph: (605) 668-2273 |
| NPI Number | 1902226004 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902226004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M824 (South Dakota) | Primary |
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