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Contact Information

PEDIATRIC DENTISTRY PC
711 SIOUX POINT RD. STE. 100
DAKOTA DUNES, SD57049-5099
 Phone: 605-242-4700
 Fax: 605-242-4702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for PEDIATRIC DENTISTRY PC

NPI # 1962828285
LBN Legal business name PEDIATRIC DENTISTRY PC
Authorized official JEANNE HANSEN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 11/18/2016 - About 10 years ago
Identifiers
SD License # M991
IA Medicaid 0234450
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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