Organization
PROUTY BROOKINGS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KELLY PROUTY DDS (OWNER)
(605) 886-8394
Entity
Organization
Contact information
Practice address
2220 YORKSHIRE DR, BROOKINGS, SD 57006-2442
(605) 697-6262
(605) 692-1521
Mailing address
2220 YORKSHIRE DR, BROOKINGS, SD 57006-2442
(605) 697-6262
(605) 692-1521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M983
SD
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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