DRAKE FAMILY DENTISTRY OF SIOUX FALLS PC (NPI# 1962041749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962041749 |
| Entity Type | Organization |
| Organization Name | DRAKE FAMILY DENTISTRY OF SIOUX FALLS PC |
| Practice Address |
2701 S Minnesota Ave Ste 3 Sioux Falls SD 57105-4746 |
| Mailing Address |
2319 E Tyler Ave Harlingen TX 78550-7384 |
| Practice Telephone | 6054960011 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | VALERIE DRAKE (PRESIDENT) |
| Authorized Official Telephone | 9564283300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2701 S MINNESOTA AVE STE 3 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246694 | Meghan E Reilly | Dentist | 2701 S Minnesota Ave Ste 3, Sioux Falls, SD 57105-4746 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1396230868 | Cameron Jones Clause | Dentist | 6301 S Minnesota Ave Ste 100, Sioux Falls, SD 57108-2529 | 2018-06-27 |
| 1528589264 | Molly Christine Kutkat | Dentist | 2400 W 41st St, Sioux Falls, SD 57105-6119 | 2017-07-03 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1033647383 | Edward Alex Kusek | Dentist | 4921 E 26th St Ste 1, Sioux Falls, SD 57110-6965 | 2017-05-31 |
| 1134656911 | Shawd Nbd P.C. | Dentist | 3321 E 26th St Ste 1, Sioux Falls, SD 57103-4144 | 2017-05-11 |
| 1336413525 | David Richard Bolton | Dentist | 2005 W 42nd St, Sioux Falls, SD 57105-6299 | 2012-03-06 |
| 1740439074 | Dwight William Loudon | Dentist | 3005 S Phillips Ave, Sioux Falls, SD 57105-5720 | 2008-09-10 |
| 1588865950 | Southeastern Dental Center | Dentist | 2851 E Jackson St, Sioux Falls, SD 57108-3511 | 2007-05-31 |
| 1801013255 | Gayle Reardon | Dentist | 3305 South Lincoln Avenue, Sioux Falls, SD 57105-5224 | 2007-04-19 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on DRAKE FAMILY DENTISTRY OF SIOUX FALLS 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.