FREED DENTAL PROF. L.L.C. NPI 1447766100

NPI Information

NPI: 1447766100
Provider Name: FREED DENTAL PROF. L.L.C.

Doing Business As: 10TH STREET DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1709 E 10TH ST
SIOUX FALLS, SD
ZIP 57103
Phone: (605) 261-5709
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FREED DENTAL PROF. L.L.C. is a dental clinic center in Sioux Falls, SD. FREED DENTAL PROF. L.L.C. NPI is 1447766100. The provider is registered as an organization entity type.
The provider Is Doing Business As 10th Street Dental.

The provider's business location address is:

1709 E 10TH ST
SIOUX FALLS, SD
ZIP 57103-805
Phone: (605) 261-5709

The provider's authorized official is Megan Joann Diaz-freed .
The authorized official title is Dentist and has the following contact phone number (605) 261-5709.

The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D1000	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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