Active NPI
Community Dentistry & Dentures, LLC
- Dental Clinic/Center
- Watertown, SD
National Provider Identifier
1881103182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- COMMUNITY DENTISTRY & DENTURES, LLC
- Practice address
- 324 4TH St NE
Watertown, SD 57201-2620 - Phone
- (605) 886-8394
- Fax
- (605) 886-5209
- NPI assigned
- Sep 29, 2017
- Last updated
- Sep 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Prouty, DDS
- Title
- Owner
- Phone
- (605) 886-8394
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
324 4TH St NE
Watertown, SD 57201-2620
Mailing address
2300 9TH Ave SE
Watertown, SD 57201-7112
Phone (605) 886-8694
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- Watertown, SD
- NPI 1467514984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506643200000",
"number": "1881103182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 9TH AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572017112",
"telephone_number": "605-886-8694",
"fax_number": "605-886-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 4TH ST NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572012620",
"telephone_number": "605-886-8394",
"fax_number": "605-886-5209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DENTISTRY & DENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-29",
"last_updated": "2017-09-29",
"status": "A",
"authorized_official_last_name": "PROUTY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-886-8394",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.