DUNES PEIODONTICS AND IMPLANT DENTISTRY (NPI# 1396252698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396252698 |
| Entity Type | Organization |
| Organization Name | DUNES PEIODONTICS AND IMPLANT DENTISTRY |
| Practice Address |
150 Tower Rd Ste 110 Dakota Dunes SD 57049-8000 |
| Practice Telephone | 6055404477 |
| Practice Fax Number | 6055400210 |
| Mailing Telephone | 6055404477 |
| Mailing Fax Number | 6055400210 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | CONSTANCE DARLENE MENDOZA (OFFICE MGR) |
| Authorized Official Telephone | 6055404477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D0905 | SD | Dental Providers |
| Street Address |
150 TOWER RD STE 110 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079257 | Charles F Scanlon II Dds Msd PC | Dentist | 1761 Tablerock Rd, Rapid City, SD 57701-5595 | 2020-10-06 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1821373325 | Joshua Wade Nehring | Dentist | 2800 Jackson Blvd Suite #6, Rapid City, SD 57702-1504 | 2011-10-15 |
| 1114225661 | Mark Allen Terry | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2011-03-08 |
| 1750423166 | Edward Boyd Whillock | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-02-13 |
| 1184792236 | Thomas L. Kassube | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2006-11-30 |
| 1396342846 | Mark T Lavin Dds PC | Dentist | 3400 E 26th St, Sioux Falls, SD 57103-4183 | 2020-10-07 |
| 1962983205 | Dakota Regional Periodontics, LLC | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2018-08-24 |
| 1265949150 | Johnson Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2018-01-02 |
| 1710107008 | Harold A. Doerr, D.d.s, PC | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-3477 | 2007-04-27 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
Please comment or provide details below to improve the information on DUNES PEIODONTICS AND IMPLANT DENTISTRY.
| 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.