South Dakota Dental Associates PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH DAKOTA DENTAL ASSOCIATES PLLC

Practice address

1110 W 5TH St
Canton, SD 57013-1543

Phone

(605) 987-2721

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By 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. Shaun O'Neill, DDS, MBANPI 1225567860

Title

Owner

Phone

(608) 289-2540

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaun O'Neill, DDS

  • Dentist
  • Fort Dodge, IA
  • NPI 1225567860
  Authorized official Same address or phone

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1871207167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 AURORA AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607097",
            "telephone_number": "712-336-3037",
            "fax_number": "712-336-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-987-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAKOTA DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-289-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cantonsddentist.com/",
            "affiliation": "N",
            "address_1": "1110 W 5th St",
            "city": "Canton",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570131543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bailey Schroeder, RPH
• Gordon Schulte, DDS
• Sydney Katherine Schultz, DDS
• Zachary Lee Selchert, PA
• Hawan Small, CNP
• Dane Steffen, DDS
• Dani Jo Suess
• Chanesse Swanson, PA-C
• Michael R Swenson, DC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Canton)

• Dentist in Canton, SD
• Providers in Canton, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.