Organization
GREGG VAN BEEK DDS PC
Active
Other names
Northeastern Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG VAN BEEK DDS (OWNER)
(605) 226-3939
Entity
Organization
Contact information
Practice address
3015 6TH AVE SE, SUITE #12, ABERDEEN, SD 57401-5461
(605) 226-3939
(605) 226-3428
Mailing address
3015 6TH AVE SE, SUITE #12, ABERDEEN, SD 57401-5461
(605) 226-3939
(605) 226-3428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M664
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805395
—
SD
Enumeration date
01/05/2011
Last updated
01/05/2011
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