Organization
MARK C NIELSEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ANN TURNER CDA ADA (OFFICE MANAGER)
(605) 224-7774
Entity
Organization
Contact information
Practice address
465 S PIERRE ST, PIERRE, SD 57501-4507
(605) 224-7774
(605) 224-9171
Mailing address
465 S PIERRE ST, PIERRE, SD 57501-4507
(605) 224-7774
(605) 224-9171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M607
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804160
—
SD
Enumeration date
06/12/2007
Last updated
08/22/2020
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