DR. EDWARD D GONZALES


Address: 100 Lake Traverse Dr, Sisseton, SD 57262-0189
Phone: 6057423678

DR. EDWARD D GONZALES (NPI# 1841372471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841372471
Entity Type Individual
Full Name DR. EDWARD D GONZALES
Credential DDS
Practice Address 100 Lake Traverse Dr
Sisseton
SD 57262-0189
Mailing Address 1406 15th St N
Wahpeton
ND 58075-3519
Practice Telephone 6057423678
Practice Fax Number 6057423887
Mailing Telephone 7016428121
Enumeration Date 2006-10-20
Last Update Date 2011-12-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
033770 CA Dental Providers

Other Providers EDWARD GONZALES

NPI Name Taxonomy Address Enumeration
1053453480 Edward A Gonzales Social Worker 2465 South Downing St, Denver, CO 80210 2007-02-13

Office Location

Street Address 100 LAKE TRAVERSE DR
City SISSETON
State SD
Zip Code 57262-0189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689672248 Harvey H Baker Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2005-07-08
1275143315 Kayley Perkins Pharmacist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-08-04
1518575174 Lindsay Dawn Peterson Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-07-20
1629692868 Patricia Nicole Roth Counselor 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2020-06-03
1306487475 Leah Lorena Federico Rumans Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2019-09-30
1437718616 Sherrie Renae Lee Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2019-06-11
1942770078 Jennifer Elizabeth Hanson Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-12-02
1376037721 Jaimi Lynn Pochant Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-06-19
1790274074 Ferdinand Ekwutosi Enudu Nurse Practitioner 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2018-05-02
1881102010 Jasmine Shanae Hypolite Registered Nurse 100 Lake Traverse Dr, Sisseton, SD 57262 2018-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780149864 Lewis Family Drug, LLC Pharmacy 925 Sd Hwy 10, Sisseton, SD 57262 2019-02-04
1346734696 Sisseton-wahpeton Oyate Private Vehicle 12554 Bia Hwy 711, Agency Village, SD 57262 2018-06-20
1902106925 Deborah Pauline Francis Pharmacist 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 2010-10-25
1508001322 Trina Marie Cleveland Registered Nurse 44942 125th Street, Sisseton, SD 57262 2008-12-08
1467427625 John Thomas Zimmer Dentist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-02-21
1720634132 Leah Adele Weiss Pharmacist 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 2019-08-12
1568906808 Joshua S Satlak Pharmacist 100 Lake Traverse Drive, Sisseton, SD 57262 2016-12-06
1205278579 Katie Elaine Bragg Registered Nurse 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 2013-07-26
1497070080 James Brian Moeller Spec/Tech, Pathology 100 Lake Traverse Drive, Sisseton, SD 57262 2010-04-07
1619063757 Valinda Jeanne Redwing White Nutritionist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-10-05
Find all providers in zip 57262

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467427625 John Thomas Zimmer Dentist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962828285 Pediatric Dentistry PC Dentist 711 Sioux Point Rd. Ste. 100, Dakota Dunes, SD 57049-5099 2014-03-11
1851422596 Cheyenne River Dental Clinic Dentist 317 North Main St, Eagle Butte, SD 57625-0590 2007-03-07
1225005473 Brent L Barker Dentist 210 1st., Wanblee, SD 57577 2006-03-07
1932659539 Joan Umiker Dentist 1323 Bia Route 4, Fort Thompson, SD 57339 2016-10-06
1124363957 Delta Dental Philanthropic Fund Dentist 804 N Euclid Ave, Pierre, SD 57501-1719 2012-12-05

Competitor

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City SISSETON
Zip Code 57262

Improve Information

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Dataset Information

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.

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