Dr. John Thomas Zimmer
Pediatric Dentist Dental Public Health
100 Lake Traverse Drive
Sisseton
, South Dakota 57262
Dr. John Thomas Zimmer
Pediatric Dentist Dental Public Health
100 Lake Traverse Drive
Sisseton
, South Dakota 57262
(605) 742-3887
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About
Features
Specialties
- Dental Public Health
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. John Thomas Zimmer
- 100 Lake Traverse Drive
- Sisseton, SD
- Zip : 57262
- Fax : (605) 742-3887
- Phone : (605) 742-3676
Second Address
- Dr. John Thomas Zimmer
- 100 Lake Traverse Drive
- Sisseton, SD
- Zip : 57262
- Fax : (605) 742-3887
- Phone : (605) 742-3676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 5382 | NE |
| Y | 1223P0221X | Pediatric Dentist | 5382 | NE |
National Provider Identifier
| NPI | 1467427625 |
|---|---|
| Provider Name | Dr. John Thomas Zimmer |
| First Address | Sisseton, SD 57262 |
| Second Address | Sisseton, SD 57262 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 19/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.