Individual
DR. JOHN THOMAS ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
(605) 742-3676
(605) 742-3887
Mailing address
100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
(605) 742-3676
(605) 742-3887
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
5382
NE
1223P0221X
Pediatric Dentistry
Primary
5382
NE
Other
Enumeration date
02/21/2006
Last updated
12/19/2011
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