PRAIRIE DENTAL CENTERS PA (NPI# 1447310636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447310636 |
| Entity Type | Organization |
| Organization Name | PRAIRIE DENTAL CENTERS PA |
| Practice Address |
200 E Main St Ada MN 56510 |
| Practice Telephone | 2187847119 |
| Practice Fax Number | 2187842381 |
| Mailing Telephone | 2187847119 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID RESNICK (CFO) |
| Authorized Official Telephone | 2187847119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10680 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10681 | MN | Dental Providers |
| Street Address |
200 E MAIN ST |
| City | ADA |
| State | MN |
| Zip Code | 56510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762555 | Alex Provo | Dentist | 200 E Main St, Ada, MN 56510-1354 | 2015-06-17 |
| 1780724542 | Debra A Ettle | Dentist | 200 E Main St, Ada, MN 56510-1354 | 2007-02-08 |
| 1366582587 | David A Resnick | Dentist | 200 E Main St, Ada, MN 56510-1354 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508917659 | Angela Marie Skyberg | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| 1104915990 | David Carl Solseng | Optometrist | 402 E 3rd St, Suite #1, Ada, MN 56510 | 2006-10-12 |
| 1982612099 | Sandra Lee Martsching | Family Medicine | 201 9th Street West, Bridges Medical Center, Ada, MN 56510 | 2006-08-04 |
| 1326579335 | Bridges Medical Center | Ambulance | 201 9th St W, Ada, MN 56510 | 2017-03-22 |
| 1598908543 | Amy C. Haen-sawrey | Speech-Language Pathologist | Bridges Medical Center, 201 9th Street West, Ada, MN 56510 | 2009-04-07 |
| 1669523718 | Renae L Miller | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| 1043309651 | Thrifty Drug Stores Inc | Pharmacy | 319 W Main St, Ada, MN 56510 | 2006-10-12 |
| 1336241785 | Kennedy Henry Thomas | Chiropractor | 406 E Main St, Ada, MN 56510 | 2006-09-05 |
| 1336315043 | Peter Paul Foderick | General Practice | 506 4th Ave W, 506 Fourth Ave.w, Ada, MN 56510-1011 | 2008-05-02 |
| 1710074109 | Independent School District #2854 | Local Education Agency (LEA) | 604 W Thorpe Ave, Ada, MN 56510-1027 | 2006-10-06 |
| Find all providers in zip 56510 | ||||
| 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 |
|---|---|---|---|---|
| 1093197881 | Samy Salhadar | Dentist | 7210 Headley St Se, Ada, MI 49301-9786 | 2015-06-29 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1699927293 | Ada Family Dentistry Inc. | Dentist | 500 N Monte Vista St Ste 1, Ada, OK 74820-4670 | 2008-10-15 |
| 1841410834 | Robert D Lorenz | Dentist | 4760 Fulton St E, Suite 101, Ada, MI 49301-9097 | 2007-05-01 |
| 1841315215 | Bruce Alan Hall | Dentist | 931 Arlington St, Ste 3, Ada, OK 74820-4025 | 2007-03-21 |
| 1205971272 | Mark Winfield Weems | Dentist | 316 S Rennie St, Ada, OK 74820-6537 | 2007-02-20 |
| 1275626087 | Devin O'reilly Norman | Dentist | 517 Ada Dr Se, Ada, MI 49301-9024 | 2006-10-02 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1588779524 | Brian Damian Coerver | Dentist | 1401 Arlington, Ada, OK 74820-2636 | 2006-08-20 |
| 1467463471 | Ron Gene Walkup | Dentist | 311 S Rennie St, Ada, OK 74820-6536 | 2006-08-11 |
| Find all providers in ADA | ||||
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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.