South Dakota Dental Associates Pllc

NPI #1871207167 in Canton, South Dakota

Provider Information

NPI Number: 1871207167
Entity Type: Organization
Organization Name: South Dakota Dental Associates Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2023
Last Updated: Jan 11, 2023

Practice Location

Address: 1110 W 5TH ST
City: Canton
State: South Dakota
ZIP Code: 57013-1543
Phone: (605) 987-2721

Authorized Official

Name: DR. SHAUN O'NEILL, DDS, MBA
Title: OWNER
Phone: (608) 289-2540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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