Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON DENTAL PROF. LLC
Active OrganizationJACKSON DENTAL PROF. LLC is a Dentist organization located in BELLE FOURCHE, South Dakota. NPI 1144394545 is currently active in the NPPES registry. Verify at CMS.
Dentist · BELLE FOURCHE, SD
Registration Details
- NPI Number
- 1144394545
- Provider Type
- Organization
- NPI Issued
- Nov 17, 2006 (19.715636448649 yrs)
- Last Updated
- Nov 3, 2010
- Licenses
-
D0633 (SD)M525 (SD)
Practice Information
- Address
-
503 JACKSON STBELLE FOURCHE, SD, 57717Browse SD providers · Browse ZIP 57717
- Phone
- 6058926347
- Fax
- 6058929027
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.