Reardon Dental Clinic Prof LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M824 Issued in SD

Legal business name

REARDON DENTAL CLINIC PROF LLC

Doing business as

Yankton Dental Clinic

Practice address

1100 Broadway Ave
Yankton, SD 57078-2927

Phone

(605) 668-2273

Fax

(605) 668-2273

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William Reardon, DDS

Title

Dentist

Phone

(605) 668-2273

Specialties & licenses 1

Addresses

Other names 1

• Yankton Dental Clinic Doing business as

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1902226004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BROADWAY AVE",
            "address_2": "PO BOX 573",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782927",
            "telephone_number": "605-668-2273",
            "fax_number": "605-668-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782927",
            "telephone_number": "605-668-2273",
            "fax_number": "605-668-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REARDON DENTAL CLINIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-668-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yankton Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quality Health Clinic, Prof. LLC
• Kelsey Quame
• Michele M Radack, RD/LN
• Kelly R Rafferty, M.D.
• Marc Rattenborg
• William J Reardon, D.D.S.
• Reconstructive Spinal Surgery & Orthopedic Surgery PC
• Linda Reese, PA-C
• Bruce H Reifenrath, MD
• Ashley A. Reiner, PA-C

• General Practice Dentistry in Yankton, SD
• Providers in Yankton, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.