Buffalo Prairie Dental Care of Keokuk, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8129 Issued in IA

Legal business name

BUFFALO PRAIRIE DENTAL CARE OF KEOKUK, INC

Practice address

3327 Main St
Keokuk, IA 52632-2225

Phone

(319) 524-8811

Fax

(319) 524-9785

NPI assigned

Aug 9, 2006

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

Dr. Kent Joseph Sturhahn, DMD

Title

President

Phone

(319) 524-8811

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811907934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322225",
            "telephone_number": "319-524-8811",
            "fax_number": "319-524-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322225",
            "telephone_number": "319-524-8811",
            "fax_number": "319-524-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PRAIRIE DENTAL CARE OF KEOKUK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STURHAHN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-524-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8056",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Jason Blickhan, CADC IN JULY 2008
• Emily Caroline Bohl, COTA/L
• Jessica Helene Bowman, M.D.
• Stephanie Broadhurst, DPT
• Yates Brotherton, PHARM.D.
• Buffalo Prairie Dental of Keokuk, PLLC
• Kristine M Casey, MA, LMHC
• Charles F Eddingfield MD
• Hayley Chase
• Church's Therapy Services, PLC

• General Practice Dentistry in Keokuk, IA
• Providers in Keokuk, IA by specialty
• General Practice Dentistry in Iowa

• 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.