Individual
DR. STEPHEN DALE GULLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
205 E 4TH AVE, MITCHELL, SD 57301-2605
(605) 996-2411
(605) 996-2411
Mailing address
205 E. 4TH AVE., MITCHELL, SD 57301-2605
(605) 996-2411
(605) 996-2411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M497
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803132
—
SD
Enumeration date
07/19/2006
Last updated
07/12/2012
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