Matthew J Dailey, DDS
Individual provider Active NPI General Practice Dentistry · Mitchell, SD
NPI 1700907334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700907334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- M886 (SD)
- Practice address
- 1416 N Sanborn Blvd
Mitchell, SD 57301-1349 - Phone
- (160) 996-2228
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506002022 | SD | Order and Referring Only - Dentist |
3779882089 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dailey Dental Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | M886 | SD | Yes |
Addresses
Primary practice location
1416 N Sanborn Blvd
Mitchell, SD 57301-1349
Mailing address
908 S Minnesota St
Mitchell, SD 57301-4341
Other providers in Mitchell, SD
- Jessica Claussen
- Collaborative Solutions, LLC
- Complete Wellness Clinic, Inc.
- Maryliz Crockett
- Dailey Dental Inc
- Dakota Counseling Institute
- Dakota Counseling Institute, Inc.
- Dakota Family Chiropractic of Mitchell PC
- Dakota Family Practice
- Dakota Hearing Instruments of Mitchell Inc
All providers in Mitchell, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.