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Organization
JOHN P. BISSON, D.D.S., P.L.L.C
Active
Organization
JOHN P. BISSON, D.D.S., P.L.L.C
Active
Other names
Bisson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL BISSON D.D.S. (OWNER/DENTIST)
(605) 490-7752
Entity
Organization
Contact information
Practice address
305 MAIN AVE S, BROOKINGS, SD 57006-3144
(605) 692-2820
(605) 692-9116
Mailing address
305 MAIN AVE S, BROOKINGS, SD 57006-3144
(605) 692-2820
(605) 692-9116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
366
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164803805
INDIVIDUAL NPI
—
Enumeration date
03/09/2018
Last updated
03/09/2018
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