Individual
MR. JOHN MICHAEL CARRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
805 S STATE ST, ABERDEEN, SD 57401
(605) 225-1192
(605) 226-7083
Mailing address
805 S STATE ST, ABERDEEN, SD 57401
(605) 225-1192
(605) 226-7083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M727
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758677
UNITED CONCORDIA
—
05
—
7809990
—
SD
01
—
995493
DSC
—
Enumeration date
03/02/2007
Last updated
02/10/2014
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