Organization
JOHN P. BISSON, D.D.S., P.L.L.C
Active
Other names
Bisson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL BISSON D.D.S. (OWNER/DENTIST)
(605) 490-7752
Entity
Organization
Contact information
Practice address
305 MAIN AVE S, BROOKINGS, SD 57006-3144
(605) 692-2820
(605) 692-9116
Mailing address
305 MAIN AVE S, BROOKINGS, SD 57006-3144
(605) 692-2820
(605) 692-9116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
366
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164803805
INDIVIDUAL NPI
—
Enumeration date
03/09/2018
Last updated
03/09/2018
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