USD DENTAL CLINIC – NPI #1376790626
Clinic/Center

USD DENTAL CLINIC is an AHC clinic located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1376790626 to USD DENTAL CLINIC on August 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 16 years ago on Aug 13, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for USD DENTAL CLINIC below.

NPI Profile for
USD DENTAL CLINIC

NPI Number
1376790626
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
USD DENTAL CLINIC
Primary location
521 N MAIN AVE
SUITE 202
SIOUX FALLS, SD 57104-5948
Phone: (605) 367-8046 Fax: (605) 677-8048
Mailing address
Same as primary location
Organization Subpart
Yes - USD DENTAL CLINIC is subpart of another organization.
Authorized Official
ANN BRUNICK
DEPARTMENT CHAIRPERSON
Phone: (605) 677-5580
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 SD D0802

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.