Individual
MARK BIERSCHBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1203 E 4TH AVE, MILBANK, SD 57252-1543
(605) 432-5032
(605) 432-4844
Mailing address
PO BOX 592, MILBANK, SD 57252-0592
(605) 432-5032
(605) 432-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M482
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4032700
BCBS OF TN
TN
01
—
4300482
DELTA DENTAL OF MN
MN
01
—
4999199
BCBS OF SD
SD
01
—
66814BI
BCBS OF MN
MN
05
—
7801810
—
SD
01
—
837660
UNITED CONCORDIA
CA
01
—
989074
BCBS OF ND
ND
Enumeration date
08/16/2005
Last updated
07/09/2007
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