Shawd Harrisburg Dental Clinic PC

NPI #1912128026 in Harrisburg, South Dakota

Provider Information

NPI Number: 1912128026
Entity Type: Organization
Organization Name: Shawd Harrisburg Dental Clinic PC
Primary Specialty: Dentist
Enumeration Date: May 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 220 S CLIFF AVE
Address 2: SUITE 104
City: Harrisburg
State: South Dakota
ZIP Code: 57032-0160
Phone: (605) 767-0285

Authorized Official

Name: MR. MIKE JOHN SCOTT
Title: OWNER
Phone: (605) 759-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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