Buffalo Prairie Dental Surgery and Sedation Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUFFALO PRAIRIE DENTAL SURGERY AND SEDATION CENTER PLLC

Practice address

126 N 30TH St Ste 102
Quincy, IL 62301-3719

Phone

(217) 228-3384

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Daunn Sturhahn

Title

Office Manager

Phone

(217) 257-0386

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Shyheme McElroy, DMD

  • Dentist
  • Quincy, IL
  • NPI 1528639309
  NPD (past)
• Richard Wright, DDS

  • General Practice Dentistry
  • Quincy, IL
  • NPI 1750440632
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1386201226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34626 150TH AVE",
            "city": "PLEASANT HILL",
            "state": "IL",
            "postal_code": "623662150",
            "telephone_number": "217-257-0386",
            "fax_number": "309-218-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N 30TH ST STE 102",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013719",
            "telephone_number": "217-228-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PRAIRIE DENTAL SURGERY AND SEDATION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "STURHAHN",
        "authorized_official_first_name": "DAUNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-257-0386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Brugman, ATC
• Karen Lori Buckwalter, L.C.S.W.
• Kristen A Buerstatte, PA-C
• Buffalo Prairie Dental Care of Quincy, Inc
• Buffalo Prairie Dental of Quincy, PLLC
• Benjamin Bukey
• Kristie Kathryn Bunch, OTR
• Peggy Louise Burchard-Ballard, MA
• Shannon Burnette, RN,MSN
• Donald A Busbey, III

• General Practice Dentistry in Quincy, IL
• Providers in Quincy, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.