Diercks, Leeann

Diercks, Leeann is an individual health care provider with primary practice located at 20 19Th St Se , Watertown SD 57201-3938. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Diercks, Leeann can be contacted via phone (605) 886-2805.

Contact Information

Primary practice address
20 19Th St Se Watertown SD 57201-3938
Phone: (605) 886-2805
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D1113 South Dakota
Dental Providers / Dentist 122300000X D13356 Minnesota

Profile Details

NPI number 1174934574
LBN Legal business name Diercks, Leeann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Jun 22nd, 2016 - about 10 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.

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