Organization
DRAKE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTLAND MICHAEL DRAKE DDS (OWNER)
(605) 335-6665
Entity
Organization
Contact information
Practice address
5100 S WESTERN AVE, SIOUX FALLS, SD 57108-2677
(605) 335-6665
(605) 332-5510
Mailing address
5100 S WESTERN AVE, SIOUX FALLS, SD 57108-2677
(605) 335-6665
(605) 332-5510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D0632
SD
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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