Organization
MICHAEL D. HOMER D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. HOMER D.M.D. (PRESIDENT AND CEO)
(605) 336-3446
Entity
Organization
Contact information
Practice address
3500 S KIWANIS AVE, SUITE 100, SIOUX FALLS, SD 57105-8119
(605) 336-3446
(605) 373-9269
Mailing address
3500 S KIWANIS AVE, SUITE 100, SIOUX FALLS, SD 57105-8119
(605) 336-3446
(605) 373-9269
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D0509
SD
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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