Embrace Madison Dental LLC

NPI #1407662059 in Madison, South Dakota

Provider Information

NPI Number: 1407662059
Entity Type: Organization
Organization Name: Embrace Madison Dental LLC
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 102 N EGAN AVE
City: Madison
State: South Dakota
ZIP Code: 57042-2909
Phone: (605) 256-4969

Authorized Official

Name: BRIAN PROUTY, DDS
Title: OWNER
Phone: (605) 884-9341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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