Bakke, Dale Wayne
Bakke, Dale Wayne is an individual health care provider with primary practice located at 310 South Main Street , Tripp SD 57376-0380. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bakke, Dale Wayne can be contacted via phone (605) 935-6089.Contact Information
Primary practice address
310 South Main Street
Tripp SD 57376-0380
Phone: (605) 935-6089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | M541 | South Dakota |
Profile Details
| NPI number | 1427256908 |
|---|---|
| LBN Legal business name | Bakke, Dale Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427256908 | NPPES |
| South Dakota | MEDICAID | 7803900 |
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