JOHN P. BISSON, D.D.S., P.L.L.C (NPI# 1427551126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427551126 |
| Entity Type | Organization |
| Organization Name | JOHN P. BISSON, D.D.S., P.L.L.C |
| Other Organization Name | BISSON DENTAL |
| Practice Address |
305 Main Ave S Brookings SD 57006-3144 |
| Practice Telephone | 6056922820 |
| Practice Fax Number | 6056929116 |
| Mailing Telephone | 6056922820 |
| Mailing Fax Number | 6056929116 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | DR. JOHN PAUL BISSON (OWNER/DENTIST) |
| Authorized Official Telephone | 6054907752 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
366 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1164803805 | 01 |
| Other Name | Type Code |
|---|---|
| Bisson Dental | Doing Business As Name - Organization |
| Street Address |
305 MAIN AVE S |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750310413 | Benjamin Lee Gates | Dentist | 305 Main Ave S, Brookings, SD 57006-3118 | 2006-07-02 |
| 1780741413 | Benjamin L. Gates, Dds, Prof, LLC | Dentist | 305 Main Ave S, Suite 2, Brookings, SD 57006-3118 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917714 | Brookings Family Dentistry, LLC | Clinic/Center | 427 8th St S, Brookings, SD 57006-4907 | 2018-03-26 |
| 1861869265 | Bradley Jordan Dds, Pllc | Clinic/Center | 102 22nd Ave S, Brookings, SD 57006-2654 | 2015-09-01 |
| 1730380536 | Benjamin T. Knutzen Dds, PC | Clinic/Center | 2311 Yorkshire Dr, Suite A, Brookings, SD 57006-2446 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137766 | Amy M. Scepaniak Dds PC | Clinic/Center | 25 Fouberg St S, Aberdeen, SD 57401-5255 | 2020-05-29 |
| 1508403957 | Black Hills Modern Endodontics | Clinic/Center | 655 Omaha St Ste 400, Rapid City, SD 57701-2744 | 2019-12-04 |
| 1023660719 | Dakota Dental 4 Kids | Clinic/Center | 5509 Bendt Dr Ste 302, Rapid City, SD 57702-9460 | 2019-07-12 |
| 1518425552 | Travis J. Bjordahl, Dds, Pllc | Clinic/Center | 1203 E 4th Ave Ste 103, Milbank, SD 57252-1558 | 2019-03-08 |
| 1245769447 | Horizon Health Care Inc | Clinic/Center | 111 Iowa St, Alcester, SD 57001 | 2017-06-09 |
| 1760933246 | Horizon Health Care, Inc. | Clinic/Center | 112 N 2nd Ave. W, Faith, SD 57626-0577 | 2016-10-19 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| 1629436381 | Clear Lake Dental LLC | Clinic/Center | 210 3rd Ave South, Clear Lake, SD 57226 | 2016-02-09 |
| 1639574601 | S. William Rockino, Dds | Clinic/Center | 105 3rd St Ne, Lake Preston, SD 57249 | 2014-11-03 |
| 1114329265 | Josh Brower Dds Prof LLC | Clinic/Center | 5000 W Empire Mall, Empire Mall Suite 924, Sioux Falls, SD 57106-6523 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
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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.