KONARD O. HAUFFE, DDS, PC (NPI# 1457493066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457493066 |
| Entity Type | Organization |
| Organization Name | KONARD O. HAUFFE, DDS, PC |
| Practice Address |
717 Main Ave Brookings SD 57006-1426 |
| Practice Telephone | 6056924715 |
| Practice Fax Number | 6056922427 |
| Mailing Telephone | 6056924715 |
| Mailing Fax Number | 6056922427 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KONARD O HAUFFE (SOLE CORPORATION OWNER) |
| Authorized Official Telephone | 6056924715 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
M722 | SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7806180 | 05 |
| Street Address |
717 MAIN AVE |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437372950 | Kathleen A Sherlock | Dentist | 717 Main Ave, Brookings, SD 57006-1426 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| 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 |
|---|---|---|---|---|
| 1871707554 | Erik Mark Treman Wiseman | Dentist | 719 Main Ave, Brookings, SD 57006-1426 | 2007-05-10 |
| 1235287277 | Brian J Larsson | Dentist | 414 Alder Street, Brookings, OR 97415 | 2007-01-08 |
| 1982618195 | Geoffrey B Johnson | Dentist | 2215 Derdall Dr, Brookings, SD 57006-2851 | 2006-07-27 |
| 1750310413 | Benjamin Lee Gates | Dentist | 305 Main Ave S, Brookings, SD 57006-3118 | 2006-07-02 |
| 1013983170 | Konard Otto Hauffe | Dentist | 717 N. Main Ave., Brookings, SD 57006 | 2006-02-27 |
| 1215909692 | Randy Lee Knutzen | Dentist | 2311 Yorkshire Dr, Brookings, SD 57006 | 2006-02-01 |
| 1720087810 | Richard Ariel Edmiston | Dentist | 350 Pacific Ave, Brookings, OR 97415-0069 | 2005-07-20 |
| 1063411353 | Charles E Jones Jr. | Dentist | 616 5th St, Brookings, OR 97415-9199 | 2005-07-19 |
| 1144755166 | Hillary Van Dyke | Dentist | 2220 Yorkshire Dr, Brookings, SD 57006-2442 | 2017-04-27 |
| 1366835019 | Dr. Daniel W. Carlson D.d.s., Dentistry Inc. | Dentist | 102 22nd Ave S, Brookings, SD 57006-2654 | 2015-03-05 |
| Find all providers in BROOKINGS | ||||
Please comment or provide details below to improve the information on KONARD O. HAUFFE, DDS, PC.
| 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.