Mark Clinton Nielsen DDS

NPI 1013135581 - Dentist - 122300000X

NPI Details
NPI 1013135581
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
465 S PIERRE STREET
PIERRE SD, 57501-4507, US
Phone (605) 224-7774
Fax (605) 224-9171
Business Location
465 S PIERRE STREET
PIERRE SD, 57501-4507, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State South Dakota
License Number M607
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According to our database, Dr. Mark Clinton Nielsen DDS NPI is 1013135581, taxonomy code is 122300000X and license number is M607, license state is located at South Dakota. Mark Clinton Nielsen DDS physically located at 465 S Pierre Street, Pierre SD, 57501-4507. NPI Number Mark Clinton Nielsen DDS has the Individual type.

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1013135581 NPI number is provided on an as is basis without warranty of any kind. 1013135581 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Clinton Nielsen DDS are for informational purposes only.