USD DENTAL CLINIC (NPI# 1376790626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376790626 |
| Entity Type | Organization |
| Organization Name | USD DENTAL CLINIC |
| Practice Address |
521 N Main Ave Suite 202 Sioux Falls SD 57104-5948 |
| Practice Telephone | 6053678046 |
| Practice Fax Number | 6056778048 |
| Mailing Telephone | 6053678046 |
| Mailing Fax Number | 6056778048 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | ANN BRUNICK (DEPARTMENT CHAIRPERSON) |
| Authorized Official Telephone | 6056775580 |
| Authorized Official Credential | PROFESSOR |
| Is Organization Subpart | Y |
| Parent Organization Name | USD DENTAL HYGIENE OF VERMILLION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D0802 | SD | Ambulatory Health Care Facilities |
| Street Address |
521 N MAIN AVE SUITE 202 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295888 | City of Sioux Falls | Clinic/Center | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2006-10-05 |
| 1659924496 | Jill Louise Pitz | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2019-07-22 |
| 1508341678 | Sarah Elizabeth Fuerstenberg | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104 | 2018-09-25 |
| 1487152955 | Melissa Anne Vondrak | Dietitian, Registered | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2018-01-30 |
| 1457888760 | City of Sioux Falls | Family Medicine | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2017-05-17 |
| 1437501335 | Gina M Geffre | Dentist | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2016-07-05 |
| 1861881880 | Angela T. Peck | Counselor | 521 N Main Ave, Suite 100, Sioux Falls, SD 57104-5948 | 2015-01-14 |
| 1013358092 | Whitney Kay Larsen | Nurse Practitioner | 521 N Main Ave, Sioux Falls, SD 57104 | 2013-07-08 |
| 1942505102 | Jennifer Jean Tinguely | Family Medicine | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2011-01-20 |
| 1467613380 | Kelsey Sue Sharpe | Dentist | 521 N Main Ave, Sioux Falls, SD 57104-5948 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114329265 | Josh Brower Dds Prof LLC | Clinic/Center | 5000 W Empire Mall, Empire Mall Suite 924, Sioux Falls, SD 57106-6523 | 2014-09-19 |
| 1073819991 | Bolen Family Dentistry P.C. | Clinic/Center | 3508 S Minnesota Ave Ste 108, Sioux Falls, SD 57105-6455 | 2011-02-10 |
| 1447291174 | General Dentistry, Ltd. | Clinic/Center | 3508 S Minnesota Ave, Suite #108, Sioux Falls, SD 57105-6461 | 2006-06-10 |
| 1083215487 | Wermerson Orthodontics Prof LLC | Clinic/Center | 5200 S Cliff Ave Ste 102, Sioux Falls, SD 57108-5400 | 2020-11-03 |
| 1346849411 | Rachel C Soyland Dds PC | Clinic/Center | 1721 S Cleveland Ave Ste 100, Sioux Falls, SD 57103-5502 | 2020-10-20 |
| 1447857982 | Van Hofwegen Dental | Clinic/Center | 5120 S Cliff Ave, Sioux Falls, SD 57108-5475 | 2020-10-07 |
| 1437756905 | East Ridge Dental LLC | Clinic/Center | 518 N Sycamore Ave, Sioux Falls, SD 57110-5737 | 2020-10-07 |
| 1770055071 | Lifetime Dental Pllc | Clinic/Center | 2200 S Minnesota Ave, Sioux Falls, SD 57105-3748 | 2018-12-26 |
| 1447766100 | Freed Dental Prof. L.L.C. | Clinic/Center | 1709 E 10th St, Sioux Falls, SD 57103-1805 | 2017-12-18 |
| 1942690557 | Mark M Bierma Dds Ms, Pllc | Clinic/Center | 5000 S Broadband Ln, Ste 126, Sioux Falls, SD 57108-2260 | 2015-02-03 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on USD DENTAL CLINIC.
| 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.