TRAVIS J. BJORDAHL, DDS, PLLC (NPI# 1518425552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518425552 |
| Entity Type | Organization |
| Organization Name | TRAVIS J. BJORDAHL, DDS, PLLC |
| Practice Address |
1203 E 4th Ave Ste 103 Milbank SD 57252-1558 |
| Mailing Address |
Po Box 592 Milbank SD 57252-0592 |
| Practice Telephone | 6054325032 |
| Practice Fax Number | 6054324844 |
| Mailing Telephone | 6054325032 |
| Mailing Fax Number | 6054324844 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | DR. TRAVIS BJORDAHL (OWNER) |
| Authorized Official Telephone | 6054325032 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bjordahl Dental Care | Doing Business As Name - Organization |
| Street Address |
1203 E 4TH AVE STE 103 |
| City | MILBANK |
| State | SD |
| Zip Code | 57252-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629319231 | Erin Elizabeth Kannegieter | Physical Therapy Assistant | 1103 South 2nd Street, Milbank, SD 57252 | 2013-03-06 |
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1063593275 | Mark A Bierschbach D.d.s., P.C. | Dentist | 1203 East 4th Ave., Suite 103, Milbank, SD 57252 | 2006-10-17 |
| 1336686500 | Wapiti Medical Group Limited Company | Internal Medicine | 107 Flynn Dr Ste 600, Milbank, SD 57252 | 2017-01-26 |
| 1083636773 | Alan David Bergquist | Chiropractor | 1203 E. 4th Ave. Suite 101, Milbank, SD 57252-0230 | 2006-07-24 |
| 1962620260 | Whetstone Valley Electric Cooperative | Technician, Other | 1101 E 4th Ave, Milbank, SD 57252-0512 | 2007-04-23 |
| 1639383383 | Wapiti Medical Corporation | Specialist | 603 S Dakota St, Milbank, SD 57252-0523 | 2007-05-10 |
| 1093909616 | Mary G Bray | Occupational Therapy Assistant | 309 N Bell Ave, Milbank, SD 57252-1302 | 2007-08-28 |
| 1992701619 | Nanci J Vanpeursem | Family Medicine | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2005-06-27 |
| 1992158760 | Elizabeth Van Lith | Physician Assistant | 803 E Milbank Ave, Milbank, SD 57252-1413 | 2016-07-18 |
| Find all providers in zip 57252 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137766 | Amy M. Scepaniak Dds PC | Clinic/Center | 25 Fouberg St S, Aberdeen, SD 57401-5255 | 2020-05-29 |
| 1508403957 | Black Hills Modern Endodontics | Clinic/Center | 655 Omaha St Ste 400, Rapid City, SD 57701-2744 | 2019-12-04 |
| 1023660719 | Dakota Dental 4 Kids | Clinic/Center | 5509 Bendt Dr Ste 302, Rapid City, SD 57702-9460 | 2019-07-12 |
| 1245769447 | Horizon Health Care Inc | Clinic/Center | 111 Iowa St, Alcester, SD 57001 | 2017-06-09 |
| 1760933246 | Horizon Health Care, Inc. | Clinic/Center | 112 N 2nd Ave. W, Faith, SD 57626-0577 | 2016-10-19 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| 1629436381 | Clear Lake Dental LLC | Clinic/Center | 210 3rd Ave South, Clear Lake, SD 57226 | 2016-02-09 |
| 1639574601 | S. William Rockino, Dds | Clinic/Center | 105 3rd St Ne, Lake Preston, SD 57249 | 2014-11-03 |
| 1114329265 | Josh Brower Dds Prof LLC | Clinic/Center | 5000 W Empire Mall, Empire Mall Suite 924, Sioux Falls, SD 57106-6523 | 2014-09-19 |
| 1073819991 | Bolen Family Dentistry P.C. | Clinic/Center | 3508 S Minnesota Ave Ste 108, Sioux Falls, SD 57105-6455 | 2011-02-10 |
| 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.