| Prairie Winds Dental | |
|
112 N Main Howard SD 57349-4703 | |
| (605) 772-4703 | |
| Not Available |
| Full Name | Prairie Winds Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 112 N Main, Howard, South Dakota |
| Authorized Official Name and Position | John Mengenhausen (CEO) |
| Authorized Official Contact | 6057725185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Winds Dental 112 N Main Howard SD 57349-4703 Ph: (605) 772-4703 | Prairie Winds Dental 112 N Main Howard SD 57349-4703 Ph: (605) 772-4703 |
| NPI Number | 1588773386 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588773386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Horizon Health Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 South Main Street, Howard, SD 57349 Phone: 605-772-4574 |