Organization
STONE NORTHERN HILLS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROGERS (FINANCIAL COORDINATOR)
(605) 584-2983
Entity
Organization
Contact information
Practice address
82 DUNMIRE DR, LEAD, SD 57754-1012
(605) 584-2983
(605) 571-2983
Mailing address
82 DUNMIRE DR, LEAD, SD 57754-1012
(605) 584-2983
(605) 571-2983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0823
SD
1223G0001X
General Practice Dentistry
M456
SD
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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