Individual
JASON BEREDED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6104 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(605) 274-6191
Mailing address
6104 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
600123115
WI
1223G0001X
General Practice Dentistry
Primary
D1471
SD
Other
Enumeration date
06/30/2023
Last updated
04/03/2026
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