Provider Type Icon

PEDIATRIC DENTISTRY PC NPI 1962828285


NPI Information

NPI: 1962828285
Provider Name: PEDIATRIC DENTISTRY PC

Doing Business As: DBA. DUNES DENTAL 4 KIDS

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
711 SIOUX POINT RD. STE. 100
DAKOTA DUNES, SD
ZIP 57049
Phone: (605) 242-4700
Get Directions

PEDIATRIC DENTISTRY PC is a dental public health dentist in Dakota Dunes, SD. The provider is 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. PEDIATRIC DENTISTRY PC NPI is 1962828285. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba. Dunes Dental 4 Kids.

The provider's business location address is:

711 SIOUX POINT RD. STE. 100
DAKOTA DUNES, SD
ZIP 57049-099
Phone: (605) 242-4700
Fax: (605) 242-4702

The provider's authorized official is Jeanne S. Hansen .
The authorized official title is Office Manager and has the following contact phone number (605) 242-4700.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 11/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthM991SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10234450MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.