North Main Family Dentistry LLC
NPI #1053050336 in Brookings, South Dakota
Provider Information
- NPI Number
- 1053050336
- Entity Type
- Organization
- Organization Name
- North Main Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 3, 2022
- Last Updated
- Jun 3, 2022
Practice Location
- Address
- 717 MAIN AVE
- City
- Brookings
- State
- South Dakota
- ZIP Code
- 57006-1426
- Phone
- (605) 692-4715
Authorized Official
- Name
- JEANNE MYERS
- Title
- CREDENTIALING COORDINATOR
- Phone
- (605) 884-9341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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