Individual
CLINTON E NORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 OAK TREE LN, DAKOTA DUNES, SD 57049
(605) 242-0107
(605) 242-0145
Mailing address
301 OAK TREE LN, DAKOTA DUNES, SD 57049-5095
(605) 242-0107
(605) 242-0145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
08801
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D0963
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548304710
—
IA
05
—
1548304710
—
SD
05
—
91201365400
—
NE
Enumeration date
05/17/2007
Last updated
05/16/2018
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