| Prairie Ridge Endodontics | |
|
600 4th St Ne Suite 101 Watertown SD 57201 | |
| (605) 878-0180 | |
| (605) 878-0181 |
| Full Name | Prairie Ridge Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 600 4th St Ne Suite 101, Watertown, South Dakota |
| Authorized Official Name and Position | Michael John Hawley (OWNER) |
| Authorized Official Contact | 6058780180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Ridge Endodontics 600 4th St Ne Suite 101 Watertown SD 57201 Ph: (605) 878-0180 | Prairie Ridge Endodontics 600 4th St Ne Suite 101 Watertown SD 57201 Ph: (605) 878-0180 |
| NPI Number | 1578926333 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578926333 | NPI | - | NPPES |
| 1891775904 | Other | SD | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D0515 (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 | |
Bach Sleep Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 1814 14th Ave Ne, 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 |