Infinity Implant and Sedation LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

INFINITY IMPLANT AND SEDATION LLC

Practice address

2310 9TH Ave SE
Watertown, SD 57201-7112

Phone

(605) 878-0456

Fax

(605) 886-5209

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Jeanne Myers

Title

Credentialing Specialist

Phone

(605) 878-0456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1750911566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017112",
            "telephone_number": "605-878-0456",
            "fax_number": "605-886-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017112",
            "telephone_number": "605-878-0456",
            "fax_number": "605-886-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY IMPLANT AND SEDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "605-878-0456"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Watertown, SD
• Providers in Watertown, 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 Jan 21, 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.