DENTAL CLINIC PARTNERSHIP LLC (NPI# 1134330665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134330665 |
| Entity Type | Organization |
| Organization Name | DENTAL CLINIC PARTNERSHIP LLC |
| Other Organization Name | THE DENTAL CLINIC |
| Practice Address |
621 2nd Street Bridgewater SD 57319 |
| Mailing Address |
Po Box 100 621 2nd Street Bridgewater SD 57319 |
| Practice Telephone | 6057292671 |
| Practice Fax Number | 6057292671 |
| Mailing Telephone | 6057292671 |
| Mailing Fax Number | 6057292671 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMBER A DETERMAN (OWNER PARTNER) |
| Authorized Official Telephone | 6057292671 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7800550 | 05 | |
| SD | 7801500 | 05 |
| Other Name | Type Code |
|---|---|
| The Dental Clinic | Doing Business As Name - Organization |
| Street Address |
621 2ND STREET |
| City | BRIDGEWATER |
| State | SD |
| Zip Code | 57319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549934 | Emily Ann Schreur | Emergency Medicine | 208 North Main Ave, Bridgewater, SD 57319 | 2019-07-09 |
| 1558581744 | Michael David Stahl | Chiropractor | 232 N. Main St., Bridgewater, SD 57319 | 2007-04-27 |
| 1760453260 | Rural Medical Clinics, Pa | Clinic/Center | 208 N Main St, Bridgewater, SD 57319-0017 | 2006-02-01 |
| 1336119544 | City of Bridgewater | Ambulance | 232 N Main Ave, Bridgewater, SD 57319-0037 | 2006-01-23 |
| 1235322173 | Kristy Jean Hofer | Physical Therapist | 901 N. Main Ave., Bridgewater, SD 57319-0300 | 2007-08-23 |
| 1861480303 | Tcc Holdings Corporation | Assisted Living Facility | 901 N Main Ave, Bridgewater, SD 57319-2004 | 2005-10-10 |
| 1689222481 | Bridgewater Nursing Home Corporation | Skilled Nursing Facility | 901 N Main Ave, Bridgewater, SD 57319-2004 | 2019-08-27 |
| 1649735515 | Carol Ellis | Physical Therapy Assistant | 901 N Main Ave, Bridgewater, SD 57319-2004 | 2019-02-05 |
| 1801186150 | Freeman Regional Health Services | Clinic/Center | 208 S Main Ave, Bridgewater, SD 57319-2339 | 2011-04-07 |
| 1376924795 | Hofer Physical Therapy, LLC | Physical Therapist | 26503 440th Ave, Bridgewater, SD 57319-6341 | 2015-06-11 |
| Find all providers in zip 57319 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578058103 | Bryant Donald Ash | Dentist | 115 Oakwood Dr # 22812, Bridgewater, VA 22812-9544 | 2018-06-26 |
| 1457513632 | Bradford J Pinkos | Dentist | 29 Planz Ln, Bridgewater, CT 06752-1235 | 2008-06-27 |
| 1710166657 | James Anthony Testa | Dentist | 704 Route 202, Bridgewater, NJ 08807-2727 | 2007-10-28 |
| 1043404668 | Sandeep Kaur | Dentist | 2503 Pinhorn Dr, Bridgewater, NJ 08807-3569 | 2007-08-28 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1366650350 | Pangyen S Hsu | Dentist | 830 Carnoustie Dr, Bridgewater, NJ 08807-1337 | 2007-05-21 |
| 1407062995 | John H. O'connor IIi | Dentist | 870 Us Highway 202-206 N, Bridgewater, NJ 08807 | 2007-05-14 |
| 1831316785 | Sandhya R Kondapaneni | Dentist | 2502 Johnson Cir, Bridgewater, NJ 08807-5533 | 2007-04-20 |
| 1861617714 | Nathan Christopher Steele | Dentist | 17 Monroe St, Bridgewater, NJ 08807-3043 | 2007-04-16 |
| 1053439224 | Frederick Frazier Planz | Dentist | 29 Planz Lane, Bridgewater, CT 06752 | 2007-03-27 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 57319 |
Please comment or provide details below to improve the information on DENTAL CLINIC PARTNERSHIP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.