Slack Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

M408 Issued in SD

Legal business name

SLACK DENTAL, PC

Doing business as

Riverview Dental

Practice address

2425 W 57TH St
Sioux Falls, SD 57108-5026

Phone

(605) 339-2040

Fax

(605) 339-4441

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Cale Slack, DDSNPI 1194820878

Title

President

Phone

(605) 339-2040

Specialties & licenses 1

Addresses

Other names 1

• Riverview Dental 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.

• Cale Slack, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1194820878
  NPD (past) Authorized official
• Ian D Ailts

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1710817978
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720159510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085026",
            "telephone_number": "605-339-2040",
            "fax_number": "605-339-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085026",
            "telephone_number": "605-339-2040",
            "fax_number": "605-339-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLACK DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "CALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-339-2040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "M408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Elizabeth Skrovig
• Evan Peter Skwara, MD
• Jayce Slaba
• Jessica Jean Slaba, CNP
• Ryan L Slaba, PAC
• Caitlyn Slack
• Cale Slack, DDS
• Kaylee Marie Slagus
• Mary Slattery
• Mikki Machelle Slatton, APRN

• Dental Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dental Clinic/Center 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.