Healthcare Provider Details

I. General information

NPI: 1477465540
Provider Name (Legal Business Name): DAKOTA DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 CENTENNIAL STREET SOUTH
ABERDEEN SD
57401
US

IV. Provider business mailing address

215 CENTENNIAL STREET SOUTH
ABERDEEN SD
57401
US

V. Phone/Fax

Practice location:
  • Phone: 605-290-5233
  • Fax:
Mailing address:
  • Phone: 605-290-5233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS JAMES KAISER
Title or Position: OWNER
Credential: DDS
Phone: 605-290-5233