MADISON FAMILY DENTAL (NPI# 1184930059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184930059 |
Entity Type | Organization |
Organization Name | MADISON FAMILY DENTAL |
Practice Address |
502 Ne 2nd St Madison SD 57042-2348 |
Practice Telephone | 6052562670 |
Practice Fax Number | 6052563172 |
Mailing Telephone | 6052562670 |
Mailing Fax Number | 6052563172 |
Enumeration Date | 2010-08-29 |
Last Update Date | 2010-08-29 |
Authorized Official Name | DR. TROY KEYES (OWNER) |
Authorized Official Telephone | 6052562670 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
M953 | SD | Ambulatory Health Care Facilities |
Street Address |
502 NE 2ND ST |
City | MADISON |
State | SD |
Zip Code | 57042-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215153218 | Bernard Virgil Schuurmans | Dentist | 502 Ne 2nd St, Madison, SD 57042-2348 | 2007-04-18 |
1184279036 | Madison Family Dental Prof LLC | Dentist | 502 Ne 2nd St, Madison, SD 57042 | 2019-08-07 |
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 Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
1306301072 | Dr. Lee Gus Dunker | Clinic/Center | 424 West St, Madison, IN 47250-3302 | 2019-02-06 |
1518422880 | Bright Dental Madison LLC | Clinic/Center | 7866 Mineral Point Rd, Madison, WI 53717-2028 | 2019-01-31 |
1992217053 | Great Day Dental of Monona | Clinic/Center | 2010 Eastwood Dr Ste 206, Madison, WI 53704-5387 | 2017-10-30 |
1770913220 | L.l. Barnett Dental Solutions, P.C. | Clinic/Center | 7185 Highway 72 W Ste C, Madison, AL 35758-6650 | 2013-11-20 |
1114210481 | Abcom Family Dental Care | Clinic/Center | 5402 Mineral Point Rd, Madison, WI 53705-4659 | 2011-05-19 |
1790976553 | Dr Andrew D Friedman Dmd | Clinic/Center | 21 Old Point Ave, Madison, ME 04950-1114 | 2007-08-07 |
1235351750 | Madison Dental Care | Clinic/Center | 535 Gallatin Pike S, Madison, TN 37115-4010 | 2007-05-03 |
1386209849 | Southeastern Dental Pllc | Clinic/Center | 117 Gallatin Pike N, Madison, TN 37115-3701 | 2019-05-09 |
1417421421 | Kevin L. Klinedinst Dds PC | Clinic/Center | 110 Miles Ridge Rd, Madison, IN 47250-2410 | 2019-01-14 |
Find all providers in MADISON |
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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.