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Contact Information

BROOKINGS EMBRACE DENTAL CLINIC LLC
2220 YORKSHIRE DR
BROOKINGS, SD57006-2442
 Phone: 605-697-6262
 Fax: 605-307-1550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BROOKINGS EMBRACE DENTAL CLINIC LLC

NPI Number 1497476097
LBN Legal business name BROOKINGS EMBRACE DENTAL CLINIC LLC
Authorized official JEANNE MYERS - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2022
Last updated 09/12/2022 - About 4 years ago
Identifiers n/a
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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