Serena Whitesell, DDS
Individual provider Active NPI General Practice Dentistry · Parkston, SD
NPI 1104355791 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1104355791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DDS-09416 (IA)
- Practice address
- 714 W Maple St
Parkston, SD 57366-2313 - Phone
- (605) 928-3363
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09416 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kralik Dental Centers, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS-09416 | IA | Yes |
Addresses
Primary practice location
714 W Maple St
Parkston, SD 57366-2313
Mailing address
PO Box 785
Parkston, SD 57366-0785
Phone (605) 928-3363
Other practice location 1
1008 E Industrial St
Freeman, SD 57029-8501
Phone (605) 925-4999
Other providers in Parkston, SD
- Ryan Wager
- Lindsay Rae Weber
- Suzanne Weber
- Werning Chiropractic, PC
- Mark A. Werning
- Amanda Whittington
- Jason W. Wickersham
- Jessica Ann Wolf
All providers in Parkston, SD · General Practice Dentistry in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.