Buffalo Prairie Dental of Quincy, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUFFALO PRAIRIE DENTAL OF QUINCY, PLLC

Practice address

2801 Broadway St
Quincy, IL 62301-3664

Phone

(217) 224-7645

Fax

(217) 224-7645

NPI assigned

May 27, 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

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1558928499",
    "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": "2801 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013664",
            "telephone_number": "217-224-7645",
            "fax_number": "217-224-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PRAIRIE DENTAL OF QUINCY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-27",
        "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": []
}

• Brandon Bruening, D.C.
• 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 Surgery and Sedation Center PLLC
• Benjamin Bukey
• Kristie Kathryn Bunch, OTR
• Peggy Louise Burchard-Ballard, MA
• Shannon Burnette, RN,MSN

• 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.