DR. LUCAS JAMES WIEBE (NPI# 1710335708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710335708 |
| Entity Type | Individual |
| Full Name | DR. LUCAS JAMES WIEBE |
| Credential | D.D.S |
| Practice Address |
1110 W 5th St Canton SD 57013-1543 |
| Mailing Address |
Po Box 9 Canton SD 57013-0009 |
| Practice Telephone | 6059872721 |
| Practice Fax Number | 6059873312 |
| Mailing Telephone | 6059872721 |
| Mailing Fax Number | 6059873312 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
606 | SD | Dental Providers |
| Street Address |
1110 W 5TH ST |
| City | CANTON |
| State | SD |
| Zip Code | 57013-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275687741 | Melissa Brandner | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1912521766 | Blake Hult | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2020-06-07 |
| 1619412384 | Chris Diaz-freed Dental Prof LLC | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2017-01-04 |
| 1124403969 | Laura Pranke | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2015-07-22 |
| 1205236643 | Anthony Olson | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2014-09-03 |
| 1184820615 | Dane Steffen | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2007-06-22 |
| 1083837801 | Chad S Lewison | Dentist | 1110 W 5th St, Canton, SD 57013-1543 | 2007-04-10 |
| 1245384718 | Gordon Schulte | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1134273600 | Dr. Gordon D Schulte PC | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699841064 | Canton School District | Local Education Agency (LEA) | 800 N Main, Canton, SD 57013 | 2006-11-28 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1669440434 | Chad Lane Tieszen | Chiropractor | 128 N Dakota St, Canton, SD 57013 | 2006-03-09 |
| 1245780717 | Chanesse Schaefer | Physician Assistant | 400 N Hiawatha Dr, Canton, SD 57013 | 2016-10-09 |
| 1497955769 | Amy M Olderbak | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013 | 2007-07-24 |
| 1578544482 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1022 N Dakota St, Canton, SD 57013-1004 | 2005-11-08 |
| 1093294787 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 1022 N Dakota St, Canton, SD 57013-1004 | 2018-08-13 |
| 1275673816 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1022 N Dakota St, Canton, SD 57013-1004 | 2007-02-06 |
| 1790184547 | Cedar Mobility LLC | Non-emergency Medical Transport (VAN) | 402 E Poplar Dr, Canton, SD 57013-1024 | 2014-08-18 |
| 1588165401 | Emily Honken | Specialist/Technologist | 800 N Main St, Canton, SD 57013-1213 | 2018-02-26 |
| Find all providers in zip 57013 | ||||
| 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 |
|---|---|---|---|---|
| 1760008361 | Portable Smiles Mobile Inc | Dentist | 519 Pinehurst Dr, Canton, MI 48188-3078 | 2020-06-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1669014403 | Flossed LLC | Dentist | 500 Chapman St Unit 201, Canton, MA 02021-2040 | 2019-10-14 |
| 1164078960 | Caleb Jonathon Fuller | Dentist | 46592 W Oak Manor Ct, Canton, MI 48187-5230 | 2019-08-16 |
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1891267316 | Canton Marketplace Dentistry LLC | Dentist | 1810 Cumming Hwy Ste 900, Canton, GA 30115-2999 | 2018-12-21 |
| 1548754252 | Ashvi Mittal | Dentist | 248 Taylors Farm Dr, Canton, GA 30115-9023 | 2018-06-15 |
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| 1184146318 | Cherokee Family Dental East Cherokee LLC | Dentist | 7768 Cumming Hwy Ste 100, Canton, GA 30115-2982 | 2017-07-10 |
| Find all providers in CANTON | ||||
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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.