Northern Plains Oral And Maxillofacial Surgery LLC
Dentist, Oral and Maxillofacial Surgery in Aberdeen, SD. Organization (NPI-2).
NPI number1487718565
StatusActive
Last updated in NPPESMar 25, 2013
Details
- NPI
- 1487718565
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Plains Oral And Maxillofacial Surgery LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Mar 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | M862 | SD | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | SD4237 | SD |
Practice location
820 1st Ave SeSuite 400
Aberdeen, SD 57401-4601
Phone 605-225-9362 · Fax 605-229-7317
Mailing address
820 1st Ave SeSuite 400
Aberdeen, SD 57401-4601
Phone 605-225-9362 · Fax 605-229-7317
Authorized official
Carl M Kimbler
Owner
6052259362
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