Prairie Dental Center
LBN: Motz Dds Pc
Prairie Dental Center is an health care organization with primary practice located at 4904 S Minnesota Ave , Sioux Falls SD 57108-2864. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Motz Dds Pc can be contacted via phone (605) 335-8640, or through Nichols, Justin M. via phone (605) 335-8640.
Contact Information
Primary practice address
4904 S Minnesota Ave
Sioux Falls SD 57108-2864
Phone: (605) 335-8640
Fax: (605) 332-9956
Website:
Authorized official contact:
Name: Nichols, Justin M. Doctor of Dental Surgery (DDS)
Phone: (605) 335-8640
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | M631 | South Dakota |
| Dental Providers / Dentist | 122300000X | D0522 | South Dakota |
| Dental Providers / Dentist | 122300000X | D1051 | South Dakota |
Profile Details
| NPI number | 1922196955 |
|---|---|
| LBN Legal business name | Motz Dds Pc |
| DBA Doing business as | Prairie Dental Center |
| Authorized official | Nichols, Justin M. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Sep 25th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922196955 | NPPES |
| South Dakota | Other | M631 | STATE LICENSE NUMBER |
| South Dakota | Other | D1051 | STATE LICENSE NUMBER |
| South Dakota | Other | D0522 | STATE LICENSE NUMBER |
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