Dr Daniel L Custis, DDS is a
Dentist - General Practice based in Custer, South Dakota. Dr Daniel L Custis is licensed to practice in South Dakota (license number M-490) and his current practice location is
141 N 5th St, Custer, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 673-2011.
NPI number for Dr Daniel L Custis is 1841214780 and his current mailing address is 141 N 5th St, Custer, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841214780.
Healthcare Provider's Profile
| Full Name | Dr Daniel L Custis |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 141 N 5th St, Custer, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841214780
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Daniel L Custis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841214780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | M-490 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel L Custis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Daniel L Custis, DDS
141 N 5th St,
Custer, SD 57730-1528
Ph: (605) 673-2011 | Dr Daniel L Custis, DDS
141 N 5th St,
Custer, SD 57730-1528
Ph: (605) 673-2011 |
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