Devan Marie Donnelly, DMD
Individual provider Active NPI General Practice Dentistry · Elk Point, SD
NPI 1669963369 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1669963369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DDS-09537 (IA)
- Practice address
- 109 E Main St
Elk Point, SD 57025-2310 - Phone
- (605) 356-2271
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09537 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dentist at Elk Point, PC | Current |
Accepting new patients | |
| Craig N Burhoop DDS PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS-09537 | IA | Yes |
Addresses
Primary practice location
109 E Main St
Elk Point, SD 57025-2310
Mailing address
PO Box 368
Elk Point, SD 57025-0368
Phone (605) 356-2271
Other practice location 1
3434 S Lakeport St
Sioux City, IA 51106-4509
Phone (712) 276-8391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1201 | Other | SD | SOUTH DAKOTA DENTAL BOARD |
| DDS-09537 | Other | IA | IOWA DENTAL BOARD |
Other providers in Elk Point, SD
- Sherrie Allgrunn
- Kirstin Carlson
- Vicki S Diede-Kay
- Elk Point Ambulance District
- Elk Point Community Ambulance Service
- Elk Point Community Ambulance Service
- Elk Point Healthcare #2, LLC
- Elk Point Jefferson School Dist
All providers in Elk Point, SD · General Practice Dentistry in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.