FAMILY DENTAL CARE (NPI# 1336287580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336287580 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL CARE |
| Practice Address |
1301 W Omaha St Stuite 228 Rapid City SD 57701-2447 |
| Practice Telephone | 6053422445 |
| Practice Fax Number | 6053428073 |
| Mailing Telephone | 6053422445 |
| Mailing Fax Number | 6053428073 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | DR. JEFFREY G OLSON (DOCTOR) |
| Authorized Official Telephone | 6053422445 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
M705 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196861 | Family Dental Care | Dentist | 2500 S State St # 404, South Salt Lake, UT 84115-3164 | 2020-02-15 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942510268 | Family Dental Care | Dentist | 1387 Leesburg Ave, Washington Court House, OH 43160-8655 | 2010-10-20 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1356543755 | Family Dental Care | Dentist | 7895 W 159th St, Tinley Park, IL 60477 | 2007-06-05 |
| 1033259031 | Family Dental Care | Dentist | 2247 Helton Drive, Florence, AL 35630-1063 | 2007-02-07 |
| 1467543900 | Family Dental Care | Dentist | 10620 Courthouse Road, Fredericksburg, VA 22407 | 2006-09-28 |
| 1598738643 | Family Dental Care | Dentist | 815 N Custer Ave, Grand Island, NE 68803 | 2006-02-09 |
| 1679063176 | Family Dental Care | Clinic/Center | 501 Park Ave, Indianola, MS 38751 | 2018-05-10 |
| 1205389186 | Family Dental Care | Dentist | 3934 Sw 8th St, Suite 208, Coral Gables, FL 33134-2949 | 2016-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL CARE | 8070 Sw Hall Blvd, Suite 200, Beaverton, OR 97008 |
| Iowa Business Entities | FAMILY DENTAL CARE ASSOCIATES, P.L.C. | 1000 42nd Street Se, Cedar Rapids, IA 52403 |
| System for Award Management (SAM) Entities | FAMILY DENTAL CARE CENTER | 6188 Oxon Hill Rd Ste 406, Oxon Hill, MD 20745-3175 |
| New York State Corporations | FAMILY DENTAL CARE OF ELMONT, P.C. | 241-03 Linden Boulevard, Elmont, New York 11003 |
| New York State Corporations | FAMILY DENTAL CARE OF GENESEO, P.C. | 4384 Lakeville Road, Geneseo, Ny 14454 |
| New York State Corporations | FAMILY DENTAL CARE OF LIVONIA, P.C. | 289 Garnsey Road, Pittsford, New York 14534 |
| Ohio Business Entities | FAMILY DENTAL CARE OF NAPOLEON, DANIEL R. WHITTAKER, DMD | 1330 Scott St Ste B, Napoleon, OH 43545 |
| New York State Corporations | FAMILY DENTAL CARE OF SUFFOLK P.C. | 1635 Great Neck Road, Suite 6, Copiague, Ny 11726 |
| Iowa Business Entities | FAMILY DENTAL CARE PC | 1000 42nd St Ne, Cedar Rapids, IA 52403 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL CARE PLAN, INC. | 8070 Sw Hall Blvd Ste 200, Beaverton, OR 97008 |
| Street Address |
1301 W OMAHA ST STUITE 228 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033289087 | Norman Anthony Fasse | Physical Therapist | 1301 W Omaha St, Suite 115, Rapid City, SD 57701-2447 | 2006-11-08 |
| 1114221991 | Jennifer Jackson, Lpc, Pllc | Counselor | 1301 W Omaha St, Suite 209, Rapid City, SD 57701-2447 | 2011-01-07 |
| 1598095465 | Jennifer Louise Jackson | Counselor | 1301 W Omaha St, Suite 209, Rapid City, SD 57701-2447 | 2009-12-28 |
| 1629269006 | Jeffrey G Olson | Dentist | 1301 W Omaha St, Ste 228, Rapid City, SD 57701-2447 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| 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 |
|---|---|---|---|---|
| 1134727969 | Shaun Lemmon | Dentist | 333 West Blvd # 300a, Rapid City, SD 57701-2670 | 2020-10-14 |
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1376197533 | Richard Brady Perdue | Dentist | 2606 Elderberry Blvd, Rapid City, SD 57703 | 2019-07-26 |
| 1508424680 | Joshua Petersen | Dentist | 1687 Tablerock Rd, Rapid City, SD 57701-5495 | 2019-06-03 |
| 1063904290 | Brittni Rose Reichert | Dentist | 6005 Mount Rushmore Rd, Rapid City, SD 57701-8962 | 2018-06-04 |
| 1598279028 | Schmalz Dental LLC | Dentist | 1147 Eglin St, Rapid City, SD 57701-9612 | 2017-11-20 |
| 1649556978 | Moody Dental Implant Centers LLC | Dentist | 705 Columbus St, Rapid City, SD 57701-3623 | 2011-11-01 |
| 1134417058 | Rob Dean Lyons | Dentist | 5955 Mount Rushmore Rd Ste A, Rapid City, SD 57701 | 2011-07-12 |
| 1083852826 | Tracy Krafthefer Heeter | Dentist | 685 N Lacrosse St, Rapid City, SD 57701-1492 | 2009-02-02 |
| 1568611374 | Charles F. Scanlon II | Dentist | 5955 South Highway 16, Suite A, Rapid City, SD 57701-8911 | 2008-09-17 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.