South Western Dental

LBN: South Western Dental
South Western Dental is an health care organization with primary practice located at 5201 S Western Ave , Sioux Falls SD 57108-5004. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. South Western Dental can be contacted via phone (605) 339-2200, or through Weisbecker, Thomas James via phone (605) 339-2200.

Contact Information

Primary practice address
5201 S Western Ave Sioux Falls SD 57108-5004
Phone: (605) 339-2200
Fax: (605) 334-5530
Website:
Map and Directions
Authorized official contact:
Name: Weisbecker, Thomas James Doctor of Dental Surgery (DDS)
Phone: (605) 339-2200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1326136607
LBN Legal business name South Western Dental
DBA Doing business as
Authorized official Weisbecker, Thomas James Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326136607 NPPES
Iowa MEDICAID 0937011
Iowa MEDICAID 7803400
Iowa MEDICAID 926228

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