Healthcare Provider Details

I. General information

NPI: 1619949112
Provider Name (Legal Business Name): CHRISTOPHER DAVID DICKES D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRIS DAVID DICKES D.D.S.

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 E 26TH ST
SIOUX FALLS SD
57103-4007
US

IV. Provider business mailing address

109 DEW DROP IN LN
YANKTON SD
57078-6229
US

V. Phone/Fax

Practice location:
  • Phone: 605-331-5656
  • Fax:
Mailing address:
  • Phone: 605-760-9537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD0519
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: