Healthcare Provider Details

I. General information

NPI: 1992636161
Provider Name (Legal Business Name): KATHERINE A. ERICKSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 STEELE AVE SE
ABERDEEN SD
57401-5521
US

IV. Provider business mailing address

13912 395TH AVE
ABERDEEN SD
57401-8549
US

V. Phone/Fax

Practice location:
  • Phone: 605-225-0261
  • Fax: 605-225-5305
Mailing address:
  • Phone: 605-228-2489
  • Fax: 605-225-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD1522
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: