Individual
DR. DEVAN MARIE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
109 E MAIN ST, ELK POINT, SD 57025-2310
(605) 356-2271
Mailing address
PO BOX 368, ELK POINT, SD 57025-0368
(605) 356-2271
(712) 276-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1201
SOUTH DAKOTA DENTAL BOARD
SD
01
—
DDS-09537
IOWA DENTAL BOARD
IA
Enumeration date
05/29/2018
Last updated
02/09/2023
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