NPI 1306140652

Manke Family Dentistry, PC

Organisation Dentist Winner, SD

Practice location

Address: 825 E 8th St Suite 203, Winner, SD 57580-2634
Phone: (605) 842-2101
Fax: (605) 842-0493

Authorised official

Name: William Charles Manke
Title: Owner/Ceo
Phone: (605) 842-2101

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence M989 (SD)

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Registry record

NPI: 1306140652
Entity type: Organization
NPI issued: 30 Dec 2010
Record last updated: 30 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.