Buffalo Prairie Dental Care of Quincy, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

0190242471 Issued in IL

Legal business name

BUFFALO PRAIRIE DENTAL CARE OF QUINCY, INC

Practice address

2801 Broadway St
Quincy, IL 62301-3639

Phone

(217) 224-7645

Fax

(217) 224-8465

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. K J Sturhahn, DMD

Title

President

Phone

(217) 224-7645

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1407866452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013639",
            "telephone_number": "217-224-7645",
            "fax_number": "217-224-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013639",
            "telephone_number": "217-224-7645",
            "fax_number": "217-224-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PRAIRIE DENTAL CARE OF QUINCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "STURHAHN",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-224-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "0190242471",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruening Total Wellness Center LLC
• Brandon Bruening, D.C.
• Garrett Brugman, ATC
• Karen Lori Buckwalter, L.C.S.W.
• Kristen A Buerstatte, PA-C
• Buffalo Prairie Dental of Quincy, PLLC
• Buffalo Prairie Dental Surgery and Sedation Center PLLC
• Benjamin Bukey
• Kristie Kathryn Bunch, OTR
• Peggy Louise Burchard-Ballard, MA

• Dentist in Quincy, IL
• Providers in Quincy, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.