Michael Ray Dana, D.D.S., P.C.
Individual provider Active NPI General Practice Dentistry · Spearfish, SD
NPI 1235353095 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235353095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- M387 (SD)
- Practice address
- 1306 N Main St
Spearfish, SD 57783-1503 - Phone
- (605) 642-7727
- Fax
- (605) 642-4344
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| M387 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R. Dana, DDS, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | M387 | SD | Yes |
Addresses
Primary practice location
1306 N Main St
Spearfish, SD 57783-1503
Mailing address
1306 N Main St
Spearfish, SD 57783-1503
Phone (605) 642-7727
Other providers in Spearfish, SD
- Jessica R Czerny
- Dakota Orthopedic
- Dana Orthodontics
- Bradly Ray Dana
- Jesse Michael Dana
- Monique Maria Dana
- Nicole Deve Dana
- Breenna Davidson
- Katy Anne Davis
- Derosier Inc
All providers in Spearfish, 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 8, 2007. 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.