| Lake Area Pediatric Dentistry | |
|
600 4th St Ne Suite 208 Watertown SD 57201-1898 | |
| (605) 753-6824 | |
| Not Available |
| Full Name | Lake Area Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 600 4th St Ne, Watertown, South Dakota |
| Authorized Official Name and Position | Thane Crump (DENTIST, OWNER) |
| Authorized Official Contact | 6057536824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Pediatric Dentistry 600 4th St Ne Suite 208 Watertown SD 57201-1898 Ph: (605) 753-6824 | Lake Area Pediatric Dentistry 600 4th St Ne Suite 208 Watertown SD 57201-1898 Ph: (605) 753-6824 |
| NPI Number | 1831391499 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831391499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | M 750 (South Dakota) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | M 750 (South Dakota) | Primary |
Dr. Kevin B Hericks Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 16th Ave Ne, Watertown, SD 57201 Phone: 605-886-2222 | |
Roger L Albertson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 4th St Ne, Watertown, SD 57201 Phone: 605-886-8866 Fax: 605-886-8891 | |
Collin C. Palmquist Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 4th St Ne, Suite 201, Watertown, SD 57201 Phone: 605-886-8096 Fax: 605-886-1979 | |
F. Herbert Wiswall, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 4th St Ne Ste 201, Watertown, SD 57201 Phone: 605-886-8096 Fax: 605-886-1979 | |
Preventative Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 4th St Ne, Watertown, SD 57201 Phone: 605-882-3060 Fax: 605-882-0681 | |
Watertown Dental Care, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 600 4th St Ne Ste 207, Watertown, SD 57201 Phone: 605-882-0747 | |
Prairie Ridge Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 4th St Ne Ste 101, Watertown, SD 57201 Phone: 605-878-0180 Fax: 605-878-0181 |