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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
033770 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053453480 | Edward A Gonzales | Social Worker | 2465 South Downing St, Denver, CO 80210 | 2007-02-13 |
Street Address |
100 LAKE TRAVERSE DR |
City | SISSETON |
State | SD |
Zip Code | 57262-0189 |
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 |
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 Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467427625 | John Thomas Zimmer | Dentist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-02-21 |
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 |
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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.