Organization
SD SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
SD SPECIALTY DENTAL SERVICES, LLC
Other names
Children's Dental Center, Parkway Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SD SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 332-1095
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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