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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WISEMAN & TIDSTROM DENTAL MANAGEMENT, LLC

Active Organization

WISEMAN & TIDSTROM DENTAL MANAGEMENT, LLC is a Dentist organization located in BROOKINGS, South Dakota. NPI 1427428614 is currently active in the NPPES registry. Verify at CMS.

Dentist · BROOKINGS, SD

Registration Details

NPI Number
1427428614
Provider Type
Organization
NPI Issued
Sep 30, 2015 (10.901964782252 yrs)
Last Updated
Mar 2, 2017
License
D0624 (SD)

Practice Information

Address
420 FRONT STREET
BROOKINGS, SD, 57006
Browse SD providers · Browse ZIP 57006
Phone
6056929555
Fax
6056920967
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in BROOKINGS, SD

Name NPI
PROUTY BROOKINGS DENTAL, LLC 1538510482
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.