Individual
DR. ADAM FJELDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 E. BRIAN ST., TEA, SD 57064
(605) 498-5907
Mailing address
315 IVY RD UNIT 2, TEA, SD 57064-2323
(605) 881-3464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1264
SD
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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