Prairie Dental Center is a Dental Clinic in Sioux Falls, South Dakota. It is located at 4904 S Minnesota Ave, Sioux Falls, SD and its contact number is 605-335-8640. The authorized person for Prairie Dental Center is Dr. Justin M. Nichols
who is Dentist/owner of the clinic and their contact number is 605-335-8640. The primary license number for Prairie Dental Center is M631 (Dentist) in South Dakota. Prairie Dental Center Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Prairie Dental Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Prairie Dental Center
Specialization:
Dentistry
Clinic Address:
4904 S Minnesota Ave, Sioux Falls, South Dakota, 57108-2864
Phone:
605-335-8640
Fax:
605-332-9956
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Justin M. Nichols
Position:
Dentist/owner
Contact Number:
605-335-8640
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Prairie Dental Center clinic are as mentioned below.
NPI Number:
1922196955
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
25 Sep, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prairie Dental Center are as mentioned below.
Specialization
License Number
State
Status
Dentist
M631
South Dakota
Primary
Dentist
D0522
South Dakota
Secondary
Dentist
D1051
South Dakota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
M631
Other
South Dakota
State License Number
D1051
Other
South Dakota
State License Number
D0522
Other
South Dakota
State License Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Prairie Dental Center 4904 S Minnesota Ave, Sioux Falls, South Dakota
Zip:
57108-2864
Phone Number:
605-335-8640
Fax Number:
605-332-9956
Patients can reach Prairie Dental Center at 4904 S Minnesota Ave, Sioux Falls, South Dakota or can call to book an appointment on 605-335-8640. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.