Organization
ORAL SURGERY ASSOCATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON E NORBY DDS (OMFS/PRESIDENT)
(605) 242-0107
Entity
Organization
Contact information
Practice address
301 OAK TREE LN, DAKOTA DUNES, SD 57049-5095
(605) 242-0107
(605) 242-0145
Mailing address
301 OAK TREE LN, DAKOTA DUNES, SD 57049-5095
(605) 242-0107
(605) 242-0145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548304710
—
IA
05
—
1548304710
—
NE
05
—
1548304710
—
SD
Enumeration date
02/19/2007
Last updated
11/15/2019
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