MEDICARE: DAY ONE DENTURES & IMPLANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1629929245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY ONE DENTURES & IMPLANTS LLC

Provider Business Mailing Address
First Line	:	4208 W EMPIRE PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-6526
Country	:	US
Telephone Number	:	605-271-1049
Fax Number	:

Provider Business Practice Location Address
First Line	:	4208 W EMPIRE PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-6526
Country	:	US
Telephone Number	:	605-271-1049
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	COLTON PRYOR
Credential	:
Telephone Number	:	605-431-4296

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “DAY ONE DENTURES & IMPLANTS LLC ” Practice Location

Language	Start Address	Practice Location

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