Provider Demographics
NPI:1235846445
Name:BIDOVSKA-MILLER, BIANKA N/A (DDS)
Entity Type:Individual
Prefix:DR
First Name:BIANKA
Middle Name:N/A
Last Name:BIDOVSKA-MILLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BIANKA
Other - Middle Name:N/A
Other - Last Name:BIDOVSKA-MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57747-0970
Mailing Address - Country:US
Mailing Address - Phone:605-745-3975
Mailing Address - Fax:605-745-3395
Practice Address - Street 1:602 JENNINGS AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747-1691
Practice Address - Country:US
Practice Address - Phone:605-745-3975
Practice Address - Fax:605-745-3395
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDD13771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice