SLACK DENTAL, PC (NPI# 1720159510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720159510 |
| Entity Type | Organization |
| Organization Name | SLACK DENTAL, PC |
| Other Organization Name | RIVERVIEW DENTAL |
| Practice Address |
2425 W 57th St Sioux Falls SD 57108-5026 |
| Practice Telephone | 6053392040 |
| Practice Fax Number | 6053394441 |
| Mailing Telephone | 6053392040 |
| Mailing Fax Number | 6053394441 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CALE SLACK (PRESIDENT) |
| Authorized Official Telephone | 6053392040 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
M408 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverview Dental | Doing Business As Name - Organization |
| Street Address |
2425 W 57TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194820878 | Cale Slack | Dentist | 2425 W 57th St, Sioux Falls, SD 57108-5026 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| 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 | 57108 |
Please comment or provide details below to improve the information on SLACK DENTAL, PC.
| 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.