Provider Demographics
NPI:1629188784
Name:OPP, DAROLD D (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAROLD
Middle Name:D
Last Name:OPP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 6TH AVE SE
Mailing Address - Street 2:SUITE #8
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401
Mailing Address - Country:US
Mailing Address - Phone:605-225-2236
Mailing Address - Fax:605-225-8952
Practice Address - Street 1:1409 6TH AVE SE
Practice Address - Street 2:SUITE #8
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401
Practice Address - Country:US
Practice Address - Phone:605-225-2236
Practice Address - Fax:605-225-8952
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM6511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice