Hillary Van Dyke
Individual provider Active NPI General Practice Dentistry · Brookings, SD
NPI 1144755166 · NPPES record last updated Jul 14, 2017
Key facts
- NPI
- 1144755166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D1160 (SD)
- Practice address
- 2220 Yorkshire Dr
Brookings, SD 57006-2442 - Phone
- (605) 697-6262
- Fax
- (605) 692-1521
- NPI assigned
- Apr 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| D1160 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prouty Brookings Dental, LLC | Past | Accepting new patients | |
| Brookings Embrace Dental Clinic LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D1160 | SD | Yes |
Addresses
Primary practice location
2220 Yorkshire Dr
Brookings, SD 57006-2442
Mailing address
2220 Yorkshire Dr
Brookings, SD 57006-2442
Phone (605) 697-6262
Other providers in Brookings, SD
- Gerald L. Turner
- Clayton Paul Twitero
- Kandi Tyner
- Andrea Uckert
- United Retirement Center
- Gary Cornelius Van Riper
- Rebecca Vande Kop
- Linda K Vande Weerd
- Katy J Vanderwal
- Abigail Joy Vanliere
All providers in Brookings, 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 Jul 14, 2017. 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.