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Contact Information

TARA E BOOMSMA, DDS
2308 S WESTLAKE DR
SIOUX FALLS, SD57106-8527
 Phone: 605-271-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TARA E BOOMSMA · (Female)

NPI Number 1063074326
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/07/2019
Last updated 02/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • SD License # D1242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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