Individual
PEYTON POLLY KUCHENBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
720 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5740
(605) 338-6118
Mailing address
105 E REDWOOD CIR UNIT 2, BRANDON, SD 57005-1106
(605) 415-3603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1485
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Enumeration date
06/10/2025
Last updated
06/12/2025
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