Maher Dental Clinic, Prof. LLC

Primary specialty

DentistTaxonomy code 122300000X

License

M994 Issued in SD

Legal business name

MAHER DENTAL CLINIC, PROF. LLC

Practice address

401 E Sioux Ave
Pierre, SD 57501-3162

Phone

(605) 224-8858

Fax

(605) 224-8859

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamie E Maher, D.D.SNPI 1174658033

Title

President

Phone

(605) 224-8858

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie E Maher, D.D.S.

  • Dentist
  • Pierre, SD
  • NPI 1174658033
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093840969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013162",
            "telephone_number": "605-224-8858",
            "fax_number": "605-224-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013162",
            "telephone_number": "605-224-8858",
            "fax_number": "605-224-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER DENTAL CLINIC, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-224-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809990",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R. Lonbaken, DPM
• Mary Makenna Lopour, CNP
• Katey Amanda Lukkes, DPT
• Timmi Rae Lunsford Hutchison, DO
• Shelby Kay Magorien, LCSW
• Jamie E Maher, D.D.S.
• Tanya Mammenga, LAC
• Mark C Nielsen DDS PC
• Elizabeth Marso, RDN
• Nicholas Marso, OD

• Dentist in Pierre, SD
• Providers in Pierre, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.