Mitchell Dental Clinic LLC

Primary specialty

DentistTaxonomy code 122300000X

License

M379 Issued in SD

Legal business name

MITCHELL DENTAL CLINIC LLC

Doing business as

The Dental Clinic

Practice address

1920 North Kimball
Mitchell, SD 57301

Phone

(605) 996-7786

Fax

(605) 996-5895

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dorsay Leroy Winthers, DDSNPI 1356557136

Title

Partner

Phone

(605) 996-7786

Specialties & licenses 2

Addresses

Other names 1

• The Dental Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorsay Leroy Winthers, DDS

  • Dentist
  • Mitchell, SD
  • NPI 1356557136
  NPD (past) Authorized official
• Amber Anne Determan, DDS

  • Dentist
  • Mitchell, SD
  • NPI 1225231152
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629284401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NORTH KIMBALL",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "57301",
            "telephone_number": "605-996-7786",
            "fax_number": "605-996-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NORTH KIMBALL",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "57301",
            "telephone_number": "605-996-7786",
            "fax_number": "605-996-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTHERS",
        "authorized_official_first_name": "DORSAY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-996-7786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M379",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul R Miskimins, DDS
• Mitchell Anesthesia PC
• Mitchell Bone and Joint Surgery
• Mitchell Chiropractic & Acupuncture Center, P.C.
• Mitchell Clinic LTD
• Mitchell Diagnostic
• Mitchell Family Practice, PC
• Mitchell Healthcare, LLC (Firesteel Healthcare Center)
• Mitchell Retirement (Countryside Living)
• Mitchell School District

• Dentist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.