Organization
NORTHERN PLAINS ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY GOETTSCHE DDS (OWNER DENTIST)
(605) 961-9092
Entity
Organization
Contact information
Practice address
4824 E 57TH ST, SIOUX FALLS, SD 57108-8614
(319) 610-5747
(605) 961-9093
Mailing address
4824 E 57TH ST, SIOUX FALLS, SD 57108-8614
(605) 961-9092
(605) 961-9093
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14275005056
—
IA
Enumeration date
06/02/2021
Last updated
12/08/2021
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