Destination Dental Professionals Ii in Custer - General Practice
Destination Dental Professionals Ii - NPI 1043351018
Destination Dental Professionals Ii is a General Practice in Custer, South Dakota. Destination Dental Professionals Ii practices all healthcare services and medical treatments related to General Practice. The NPI Number for Destination Dental Professionals Ii is 1043351018. The last update date is 2018-08-02.
Destination Dental Professionals Ii's current location address is 141 N 5th St, Custer, South Dakota. You can contact this provider via phone number 6056732011. The mailing address for Destination Dental Professionals Ii is 141 N 5th St, Custer, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Destination Dental Professionals Ii |
|---|---|
| Address | 141 N 5th St, Custer, South Dakota |
| Phone Number | 6056732011 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST / |
|---|---|
| Authorized Official Name | Latinow Diana |
| Credentials | DDS |
| Telephone Number | 6056732011 |
NPI Number Detail
| NPI Number | 1043351018 |
|---|---|
| Provider Enumeration Date | 2007-02-10 |
| Last Updated Date | 2018-08-02 |
Provider Mailing Address Detail
| Address | 141 N 5th St |
|---|---|
| City | Custer |
| State | South Dakota (SD) |
| Post Code | 577301528 |
| Phone Number | 6056732011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | M-490 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Destination Dental Professionals Ii by the Centers for Medicare & Medicaid Services (CMS)?
The Destination Dental Professionals Ii has been assigned the NPI (National Provider Identifier) 1043351018. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Destination Dental Professionals Ii is geographically located?
The Destination Dental Professionals Ii is physically situated at the following location: 141 N 5Th St, Custer, SD, 577301528.
What is Destination Dental Professionals Ii's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Destination Dental Professionals Ii's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1043351018 assigned to Destination Dental Professionals Ii?
The Destination Dental Professionals Ii was issued its 1043351018 on 2007-02-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Destination Dental Professionals Ii's details last updated?
The information pertaining to the Destination Dental Professionals Ii, including its address, specialty, and other details, was most recently updated on 2018-08-02.
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