MELISSA BRANDNER PROF. LLC (NPI# 1518355841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518355841 |
| Entity Type | Organization |
| Organization Name | MELISSA BRANDNER PROF. LLC |
| Other Organization Name | PARKSIDE DENTAL |
| Practice Address |
910 N Main Ave Suite 101 Tea SD 57064-0580 |
| Mailing Address |
Po Box 580 Tea SD 57064-0580 |
| Practice Telephone | 6054984746 |
| Practice Fax Number | 6054989012 |
| Mailing Telephone | 6054984746 |
| Mailing Fax Number | 6054989012 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | DR. MELISSA ANN BRANDNER (OWNER) |
| Authorized Official Telephone | 6054984746 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Parkside Dental | Doing Business As Name - Organization |
| Street Address |
910 N MAIN AVE SUITE 101 |
| City | TEA |
| State | SD |
| Zip Code | 57064-0580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169797 | Adam Fjeldheim | Dentist | 605 E. Brian St., Tea, SD 57064 | 2020-06-22 |
| 1275946188 | Perspective Health Chiropractic & Wellness | Chiropractor | 910 N. Main Ave., Suite 105, Tea, SD 57064 | 2014-06-09 |
| 1508078684 | Nicholas J. Shawd D.d.s., P.C. | Dentist | 725 E. Kevin Dr., Ste. 101, Tea, SD 57064 | 2007-05-03 |
| 1518083757 | Laura Marie Koele | Chiropractor | 710 E First Street, Tea, SD 57064 | 2007-03-21 |
| 1851328751 | Reilly Pharmacy LLC | Pharmacy | 720 E. First Street, Tea, SD 57064-0487 | 2006-06-27 |
| 1962939231 | Theresa Michelle Newcomb | Nurse Practitioner | Po Box 802, Tea, SD 57064-0802 | 2017-05-17 |
| 1710131107 | Jodi M Schnider | Speech-Language Pathologist | 200 W Charish St, Tea, SD 57064-2055 | 2008-11-11 |
| 1881772168 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 725 E Kevin Dr Ste 100, Tea, SD 57064-2070 | 2006-11-02 |
| 1356358030 | Nicholas Jon Shawd | Dentist | 725 E Kevin Dr, Suite 101, Tea, SD 57064-2070 | 2006-08-02 |
| 1306019484 | Amy Petersen | Speech-Language Pathologist | 130 Atkins Dr, Tea, SD 57064-2082 | 2008-04-09 |
| Find all providers in zip 57064 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976193 | Clinton Arlin Wilson | Dentist | 6301 W 41st St, Sioux Falls, SD 57106-1217 | 2020-06-09 |
| 1134696594 | Eliott Suh | Dentist | 4901 W Equestrian Pl Apt 4202, Sioux Falls, SD 57106-5837 | 2018-10-24 |
| 1356835946 | Abigail Joy Vanliere | Dentist | 2110 12th St S, Brookings, SD 57006-5609 | 2018-06-18 |
| 1194218099 | Spencer Lee Gross | Dentist | 4501 E 41st St, Sioux Falls, SD 57110-7200 | 2018-06-14 |
| 1265925036 | Vitaly Perets | Dentist | 4603 W Homefield Dr, Sioux Falls, SD 57106-3511 | 2018-06-07 |
| 1508389230 | William Donald Baune | Dentist | 11423 Lake Road, Rosholt, SD 57260 | 2017-07-25 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1174043780 | Bryce Wilen | Dentist | Po Box 577, Faith, SD 57626-0577 | 2017-06-24 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1710433123 | Timothy L Kelly Dental Prof. LLC | Dentist | 1600 Mountain View Rd Ste 104, Rapid City, SD 57702-4354 | 2016-08-27 |
| Find all providers with the same taxonomy | ||||
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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.