Precision Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRECISION DENTAL CARE

Practice address

910 N Main Ave Ste 101
Tea, SD 57064-2499

Phone

(605) 498-4746

Fax

(605) 498-9012

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alex Wilson Broesder, DDSNPI 1326601352

Title

Dentist/Owner

Phone

(605) 498-4746

Specialties & licenses 1

Addresses

Other names 1

• Parkside Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Alex Wilson Broesder, DDS

  • Dentist
  • Sioux Falls, SD
  • NPI 1326601352
  NPD Authorized official

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1437860434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570640580",
            "telephone_number": "605-498-4746",
            "fax_number": "605-498-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MAIN AVE STE 101",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642499",
            "telephone_number": "605-498-4746",
            "fax_number": "605-498-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "BROESDER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "605-498-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "parkside@iw.net",
            "affiliation": "N",
            "endpointDescription": "Secure Email Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 N Main Ave Ste 101",
            "city": "Tea",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570642499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Tea, SD
• Providers in Tea, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.