PEDIATRIC DENTISTRY PC


Address: 711 Sioux Point Rd. Ste. 100, Dakota Dunes, SD 57049-5099
Phone: 6052424700

PEDIATRIC DENTISTRY PC (NPI# 1962828285) 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) 1962828285
Entity Type Organization
Organization Name PEDIATRIC DENTISTRY PC
Other Organization Name DBA. DUNES DENTAL 4 KIDS
Practice Address 711 Sioux Point Rd. Ste. 100
Dakota Dunes
SD 57049-5099
Practice Telephone 6052424700
Practice Fax Number 6052424702
Mailing Telephone 6052424700
Mailing Fax Number 6052424702
Enumeration Date 2014-03-11
Last Update Date 2016-11-18
Authorized Official Name JEANNE S. HANSEN (OFFICE MANAGER)
Authorized Official Telephone 6052424700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
M991 SD Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0234450 05

Other Provider/Organization Names

Other Name Type Code
DBA. Dunes Dental 4 Kids Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699283432 Pediatric Dentistry PC Dentist 209 E Emory Rd Ste 101, Powell, TN 37849-4016 2018-01-15
1437557378 Pediatric Dentistry PC Dentist 1516 Coleman Rd, Suite 201, Knoxville, TN 37909-3809 2014-12-09
1861818668 Pediatric Dentistry PC Dentist 3116 Saddle Dr, Suite 1, Helena, MT 59601-8645 2014-03-17

Office Location

Street Address 711 SIOUX POINT RD. STE. 100
City DAKOTA DUNES
State SD
Zip Code 57049-5099

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093356800 Dennis Alan Bickett Physical Therapist 365 W Anchor Drive, North Sioux City, SD 57049 2019-10-02
1053872416 Ryan Joel Anderson Nurse Anesthetist, Certified Registered Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 2019-03-28
1043769656 Jeffrey L Howenstein Dmd Ms PC Dentist 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 2016-09-23
1821445206 Abbie A Gacke Speech-Language Pathologist 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 2016-05-16
1346606233 Seth Wolles Specialist/Technologist 575 Sioux Point Rd, Dakota Dunes, SD 57049 2016-01-07
1598188252 Hanger Prosthetics & Orthotics East Inc Prosthetic/Orthotic Supplier 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 2014-01-30
1932220217 Campbell Chiropractic Clinic PC Chiropractor 118 Gateway Dr, N. Sioux City, SD 57049 2007-04-03
1912048687 North Sioux Dental Clinic Dentist 101 Merrill Ave., North Sioux City, SD 57049 2007-02-08
1346322716 Donald B Cork Jr. Dentist 101 Merrill Ave, North Sioux City, SD 57049 2006-10-19
1265514681 Bethany R Nielsen Dentist 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 2006-10-19
Find all providers in zip 57049

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 state

NPI Name Taxonomy Address Enumeration
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
1467427625 John Thomas Zimmer Dentist 100 Lake Traverse Drive, Sisseton, SD 57262 2006-02-21
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
1841372471 Edward D Gonzales Dentist 100 Lake Traverse Dr, Sisseton, SD 57262-0189 2006-10-20

Competitor

Search similar providers

City DAKOTA DUNES
Zip Code 57049

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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