MADISON FAMILY DENTAL PROF LLC


Address: 502 Ne 2nd St, Madison, SD 57042
Phone: 6052562670

MADISON FAMILY DENTAL PROF LLC (NPI# 1184279036) 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) 1184279036
Entity Type Organization
Organization Name MADISON FAMILY DENTAL PROF LLC
Practice Address 502 Ne 2nd St
Madison
SD 57042
Practice Telephone 6052562670
Practice Fax Number 6052563172
Mailing Telephone 6052562670
Mailing Fax Number 6052563172
Enumeration Date 2019-08-07
Last Update Date 2019-08-07
Authorized Official Name MR. TROY LARRY KEYES (OWNER/DDS)
Authorized Official Telephone 6052562670
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 502 NE 2ND ST
City MADISON
State SD
Zip Code 57042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215153218 Bernard Virgil Schuurmans Dentist 502 Ne 2nd St, Madison, SD 57042-2348 2007-04-18
1184930059 Madison Family Dental Clinic/Center 502 Ne 2nd St, Madison, SD 57042-2348 2010-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316493042 Renae Christensen Psychologist 820 N. Washington Ave., Madison, SD 57042 2016-09-01
1275080889 Lance Koenig Psychologist 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 2016-09-01
1699145532 Counseling Associates, Alla Jones Counselor 726 S. Washington Ave., Madison, SD 57042 2015-10-05
1619222080 Laura Elizabeth Larsen Occupational Therapist 917 North Washington, Madison, SD 57042 2012-07-20
1639470925 Jessica Rogers Physical Therapy Assistant 416 South Harth Ave., Madison, SD 57042 2010-11-03
1093924169 Bradley Dale Gilbert Specialist/Technologist 1302 N Washington Ave, Madison, SD 57042 2007-05-22
1659420073 Every Citizen Counts Organization Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 706 Sw 7th St, Madison, SD 57042 2007-01-09
1912076985 Larry Paul Green Sr. Dentist 102 N Egan Ave, Madison, SD 57042 2006-11-06
1306854062 Michael Steven Brooke Optometrist 302 N Harth Avenue, Madison, SD 57042 2006-08-04
1336118181 Douglas J Caron Chiropractor 120 Nw 2nd St, Madison, SD 57042 2006-03-15
Find all providers in zip 57042

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496007 Elizabeth R Friend Dentist 440 Science Dr Ste 100, Madison, WI 53711-1064 2020-08-03
1841817657 Kimberly Nicole Lee Dentist 105 Broadmoor Dr, Madison, MS 39110-6651 2020-06-26
1831713213 Scarlett La'ree Johnson Dentist 155 Millhouse Dr, Madison, MS 39110-6964 2020-06-02
1447899653 Say Ahh Family and Cosmetic Dentistry LLC Dentist 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 2020-01-06
1982245395 Treehouse Children's Dentistry, LLC Dentist 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 2019-10-07
1205480423 Abtin Iranmanesh Dentist 7564 Highway 72 W Ste C, Madison, AL 35758-9437 2019-07-25
1396238226 Nathalie M Gomez-leon Dentist 7278 Highway 72 W Ste A, Madison, AL 35758-9551 2018-06-14
1164915518 Lauren Faustmann Dentist 20 Hughes Rd # 104, Madison, AL 35758-2237 2018-06-11
1669963518 Fahad Al-fadhli Dentist 109 Sycamore Rdg, Madison, MS 39110-7333 2018-05-27
1346752441 Pignataro Family Dentistry, PC Dentist 7950 Highway 72 W Ste F, Madison, AL 35758-6420 2017-10-30
Find all providers in MADISON

Competitor

Search similar providers

City MADISON
Zip Code 57042

Improve Information

Please comment or provide details below to improve the information on MADISON FAMILY DENTAL PROF LLC.

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.

Trending Searches