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Contact Information

DENTAL CLINIC PARTNERSHIP LLC
621 2ND STREET
BRIDGEWATER, SD57319
 Phone: 605-729-2671
 Fax: 605-729-2671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL CLINIC PARTNERSHIP LLC

NPI Number 1134330665
LBN Legal business name DENTAL CLINIC PARTNERSHIP LLC
Authorized official AMBER DETERMAN - (OWNER PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SD Medicaid 7800550
SD Medicaid 7801500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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