Dunes Peiodontics and Implant Dentistry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D0905 Issued in SD

Legal business name

DUNES PEIODONTICS AND IMPLANT DENTISTRY

Practice address

150 Tower Rd Ste 110
Dakota Dunes, SD 57049-8000

Phone

(605) 540-4477

Fax

(605) 540-0210

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Constance Darlene Mendoza

Title

Office MGR

Phone

(605) 540-4477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1396252698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TOWER RD STE 110",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570498000",
            "telephone_number": "605-540-4477",
            "fax_number": "605-540-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TOWER RD STE 110",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570498000",
            "telephone_number": "605-540-4477",
            "fax_number": "605-540-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNES PEIODONTICS AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "605-540-4477"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SD",
            "license": "D0905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunes Anesthesia PC
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• Dunes Dental 4 Kids, LLP
• Dunes Family Pharmacy Inc
• Dunes Medical Laboratories
• Emma Rose Duprey, PA
• Quentin John Durward, MD
• Ear Nose and Throat Consultants
• Ear Nose and Throat Consultants and Hearing Services PLC
• Eastern Iowa Therapeutics,PC

• Periodontics in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Periodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.