Healthcare Provider Details

I. General information

NPI: 1033668645
Provider Name (Legal Business Name): DUNES DENTAL 4 KIDS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 OAK TREE LN STE 100
DAKOTA DUNES SD
57049-5506
US

IV. Provider business mailing address

350 OAK TREE LN STE 100
DAKOTA DUNES SD
57049-5506
US

V. Phone/Fax

Practice location:
  • Phone: 605-242-4700
  • Fax: 605-242-4702
Mailing address:
  • Phone: 605-242-4700
  • Fax: 605-242-4702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JEANNE S HANSEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 605-242-4700