Healthcare Provider Details

I. General information

NPI: 1013983170
Provider Name (Legal Business Name): KONARD OTTO HAUFFE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 N. MAIN AVE.
BROOKINGS SD
57006
US

IV. Provider business mailing address

P O BOX 543
BROOKINGS SD
57006
US

V. Phone/Fax

Practice location:
  • Phone: 605-692-4715
  • Fax: 605-692-2427
Mailing address:
  • Phone: 605-692-4715
  • Fax: 605-692-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberM722
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15378
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: