Organization
NORTH SIOUX DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD B CORK JR. DDS (GENERAL DENTIST)
(605) 232-8802
Entity
Organization
Contact information
Practice address
101 MERRILL AVE., NORTH SIOUX CITY, SD 57049
(605) 232-8802
(605) 232-0973
Mailing address
101 MERRILL AVE., PO BOX 1010, NORTH SIOUX CITY, SD 57049
(605) 232-8802
(605) 232-0973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M847
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722009
—
IA
05
—
0989517
—
IA
Enumeration date
02/08/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us