Prouty Brookings Dental, LLC
NPI #1538510482 in Brookings, South Dakota
Provider Information
- NPI Number
- 1538510482
- Entity Type
- Organization
- Organization Name
- Prouty Brookings Dental, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 2220 YORKSHIRE DR
- City
- Brookings
- State
- South Dakota
- ZIP Code
- 57006-2442
- Phone
- (605) 697-6262
Authorized Official
- Name
- BRIAN KELLY PROUTY, DDS
- Title
- OWNER
- Phone
- (605) 886-8394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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