# SD SPECIALTY DENTAL SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SD SPECIALTY DENTAL SERVICES, LLC
- **Other names:** Children's Dental Center, Parkway Orthodontics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548000300
- **Legal business name:** SD SPECIALTY DENTAL SERVICES, LLC
- **Authorized official:** CHARLOTTE DASCH (DIRECTOR OF CRED AND PR)
- **Authorized official phone:** (504) 638-0303

## Contact information

- **Practice address:** 3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
- **Practice address phone:** (605) 332-1095
- **Mailing address:** 1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
- **Mailing address phone:** (615) 678-0759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024