BUFFALO PRAIRIE DENTAL CARE, INC (NPI# 1265442305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265442305 |
| Entity Type | Organization |
| Organization Name | BUFFALO PRAIRIE DENTAL CARE, INC |
| Practice Address |
850 N Jackson St Pittsfield IL 62363-1206 |
| Practice Telephone | 2172854084 |
| Mailing Telephone | 2172854084 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENT JOSEPH STURHAHN (PRESIDENT) |
| Authorized Official Telephone | 2172854084 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0190242471 | IL | Dental Providers |
| Street Address |
850 N JACKSON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760667307 | Buffalo Prairie Dental Care of Pittsfield, Inc | Dentist | 850 N Jackson St, Pittsfield, IL 62363-1206 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1437378015 | John William Brazill Jr. | Dentist | 210 South St, Pittsfield, MA 01201-6825 | 2007-04-24 |
| 1174656482 | Jon R Gotterer | Dentist | 523 South St, Pittsfield, MA 01201-8209 | 2007-03-14 |
| 1871657270 | Melvin H Martin | Dentist | 1165 W Washington St, Pittsfield, IL 62363-1662 | 2006-12-20 |
| 1144391673 | Jessica Lynn Speckhart-smith | Dentist | 110 E Fayette St, Box 288, Pittsfield, IL 62363-1949 | 2006-11-13 |
| 1568547347 | Zulfiqar Ali Durrani | Dentist | 788 South St, Pittsfield, MA 01201-8237 | 2006-10-27 |
| 1538170873 | John S Cella | Dentist | 197 South Street, Pittsfield, MA 01201 | 2006-08-11 |
| 1922014927 | Alan Cotler | Dentist | 374 South Street, Pittsfield, MA 01201 | 2006-07-31 |
| 1205859196 | Natalya A Yantovsky | Dentist | 188 East St Ste 202, Pittsfield, MA 01201-5362 | 2006-07-25 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
Please comment or provide details below to improve the information on BUFFALO PRAIRIE DENTAL CARE, INC.
| 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.