Organization
BRIAN K PROUTY DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K PROUTY DDS (OWNER)
(605) 886-8394
Entity
Organization
Contact information
Practice address
600 4TH ST NE, STE 102, WATERTOWN, SD 57201-1898
(605) 886-8394
(605) 886-5209
Mailing address
856 POMPESKA DR., WATERTOWN, SD 57201
(605) 884-4363
(605) 886-5209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M983
SD
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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