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Anthony David Delcorral, DDS
General Practice Dentistry in Ellsworth Afb, South Dakota
NPI 1811459662

Anthony David Delcorral is a General Practice Dentistry based in Ellsworth Afb, SD and is specialized in General Practice. Anthony David Delcorral practices in Ellsworth Afb, SD and has the professional credentials of DDS. The NPI Number for Anthony David Delcorral is 1811459662 and holds a License No. (South Dakota).

The current practice location address for Anthony David Delcorral is 2900 Doolittle Dr, Ellsworth Afb, SD and can be reached out via phone at 402-294-3212. You can also correspond with Anthony David Delcorral through the mailing address at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD - 57706-4821 (mailing address contact number: 605-385-6700).

Location: 2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811459662
Provider Name
Anthony David Delcorral
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2900 Doolittle Dr, Ellsworth Afb, SD, 57706-4821
Phone Number
402-294-3212
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 Doolittle Dr
City
Ellsworth Afb
State
South Dakota
Zip
57706-4821
Phone Number
402-294-3212
Fax Number
person
Provider Business Mailing Address Details
Address
2900 Doolittle Dr
City
Ellsworth Afb
State
South Dakota
Zip
57706-4821
Phone Number
402-294-3212
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2019019264 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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