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NPI Code Detail

MEDICARE: MICHAEL H DOERR, D.M.D., P.C.

MEDICARE: MICHAEL H DOERR, D.M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/CenterD1092SD

General Provider Information

NPI Number : 1952768186
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL H DOERR, D.M.D., P.C.
Provider Business Mailing Address
First Line : 801 MOUNT RUSHMORE RD
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57701-3614
Country : US
Telephone Number : 605-341-1895
Fax Number :
Provider Business Practice Location Address
First Line : 801 MOUNT RUSHMORE RD
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57701-3614
Country : US
Telephone Number : 605-341-1895
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL H DOERR
Credential : D.M.D.
Telephone Number : 605-341-1895
Provider Enumeration Date : 01/19/2016
Last Update Date : 01/19/2016

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Directions to “MICHAEL H DOERR, D.M.D., P.C. ” Practice Location

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