Organization
MAHER DENTAL CLINIC, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE E MAHER D.D.S (PRESIDENT)
(605) 224-8858
Entity
Organization
Contact information
Practice address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-8858
(605) 224-8859
Mailing address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-8858
(605) 224-8859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M994
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809990
—
SD
Enumeration date
02/22/2007
Last updated
08/22/2020
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