| Organization Name: | UNIVERSITY OF SOUTH DAKOTA DENTAL HYGIENE |
| NPI Number: | 1508114695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN BRUNICK (CHAIRPERSON) |
| Mailing Address: | 414 E Clark St 120 East Hall Vermillion |
| State: | SD US |
| Postal Code: | 570692307 |
| Phone Number: | 6056775582 |
| Fax Number: | 6056775638 |
| NPI Enumeration Date: | 08/21/2012 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | D0802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |