PEDIATRIC DENTISTRY, INC. (NPI# 1871786269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871786269 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY, INC. |
| Practice Address |
1737 S Cleveland Ave Sioux Falls SD 57103-3245 |
| Practice Telephone | 6053380884 |
| Practice Fax Number | 6053380240 |
| Mailing Telephone | 6053380884 |
| Mailing Fax Number | 6053380240 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | DR. GAYLE V NELSON (PRESIDENT) |
| Authorized Official Telephone | 6053380884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
M442 | SD | Ambulatory Health Care Facilities |
| Street Address |
1737 S CLEVELAND AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639267925 | Gayle V Nelson | Dentist | 1737 S Cleveland Ave, Sioux Falls, SD 57103-3245 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1447291174 | General Dentistry, Ltd. | Clinic/Center | 3508 S Minnesota Ave, Suite #108, Sioux Falls, SD 57105-6461 | 2006-06-10 |
| 1083215487 | Wermerson Orthodontics Prof LLC | Clinic/Center | 5200 S Cliff Ave Ste 102, Sioux Falls, SD 57108-5400 | 2020-11-03 |
| 1346849411 | Rachel C Soyland Dds PC | Clinic/Center | 1721 S Cleveland Ave Ste 100, Sioux Falls, SD 57103-5502 | 2020-10-20 |
| 1447857982 | Van Hofwegen Dental | Clinic/Center | 5120 S Cliff Ave, Sioux Falls, SD 57108-5475 | 2020-10-07 |
| 1437756905 | East Ridge Dental LLC | Clinic/Center | 518 N Sycamore Ave, Sioux Falls, SD 57110-5737 | 2020-10-07 |
| 1770055071 | Lifetime Dental Pllc | Clinic/Center | 2200 S Minnesota Ave, Sioux Falls, SD 57105-3748 | 2018-12-26 |
| 1447766100 | Freed Dental Prof. L.L.C. | Clinic/Center | 1709 E 10th St, Sioux Falls, SD 57103-1805 | 2017-12-18 |
| 1942690557 | Mark M Bierma Dds Ms, Pllc | Clinic/Center | 5000 S Broadband Ln, Ste 126, Sioux Falls, SD 57108-2260 | 2015-02-03 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
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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.