WATERTOWN DENTAL CARE, PLLC (NPI# 1285106831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285106831 |
| Entity Type | Organization |
| Organization Name | WATERTOWN DENTAL CARE, PLLC |
| Practice Address |
600 4th St Ne Ste 207 Watertown SD 57201-1898 |
| Practice Telephone | 6058820747 |
| Mailing Telephone | 6058820747 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | DARIN BACH (PRESIDENT) |
| Authorized Official Telephone | 6058820747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Watertown Dental Care | Doing Business As Name - Organization |
| Street Address |
600 4TH ST NE STE 207 |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194164343 | Ashley Marie Stoll-pfrimmer | Dentist | 600 4th St Ne Ste 207, Watertown, SD 57201-1898 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1013382852 | Great Beginnings Pediatric Dentistry Pllc | Clinic/Center | 127 Winslow St, Watertown, NY 13601-4389 | 2015-12-04 |
| 1750911566 | Infinity Implant and Sedation LLC | Clinic/Center | 2310 9th Ave Se, Watertown, SD 57201-7112 | 2020-01-21 |
| 1982250726 | 42 North Dental Care, LLC | Clinic/Center | 21 Main St, Watertown, MA 02472-4403 | 2019-08-16 |
| 1487118188 | Luminous Dental LLC | Clinic/Center | 63 Mount Auburn St, Watertown, MA 02472-3924 | 2019-01-27 |
| 1750886685 | American Dental of Watertown | Clinic/Center | 171 Watertown St, Watertown, MA 02472-2571 | 2018-03-23 |
| 1881105484 | Professional Dental Image | Clinic/Center | 53 Bigelow Ave, Watertown, MA 02472-2009 | 2017-10-23 |
| 1881103182 | Community Dentistry & Dentures, LLC | Clinic/Center | 324 4th St Ne, Watertown, SD 57201-2620 | 2017-09-29 |
| 1992246458 | Masi Dental Group PC | Clinic/Center | 171 Watertown St, Watertown, MA 02472-2571 | 2017-03-16 |
| 1790930154 | Pediatric Dental Arts | Clinic/Center | 521 Mount Auburn St, Suite 104, Watertown, MA 02472-4191 | 2008-11-25 |
| Find all providers in WATERTOWN | ||||
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| 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.