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NPI 1225937725

NPI 1225937725 : DAKOTA DENTAL 4 KIDS SIOUXLAND LLC : SIOUX FALLS, SD

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General NPI Number Information
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    NPI Number           |    1225937725
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAKOTA DENTAL 4 KIDS SIOUXLAND LLC 
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Dates
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    Enumeration Date     |    11/02/2026
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    Last Update Date     |    11/02/2026
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Provider Practice Location Address
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    Address Line         |    5533 E 18TH ST 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57110-2713
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    Country              |    US
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    Telephone            |    605-790-7125
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    Fax                  |    605-790-7144
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Provider Business Mailing Address
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    Address Line         |    5533 E 18TH ST 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57110-2713
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    Country              |    US
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    Telephone            |    605-790-7125
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    Fax                  |    605-790-7144
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     KALA  FRENCH 
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    Credential           |    
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    Telephone            |    605-391-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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