CANDID SOUTH DAKOTA, LLC NPI 1003423104

Dentist (Orthodontics and Dentofacial Orthopedics) in Sioux Falls, SD

NPI 1003423104 Organization Dentist Orthodontics and Dentofacial Orthopedics

About CANDID SOUTH DAKOTA, LLC

Candid South Dakota, Llc is a provider established in Sioux Falls, South Dakota specializing in dentist (orthodontics and dentofacial orthopedics) . The NPI number of Candid South Dakota, Llc is 1003423104 and was assigned on September 2020. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Candid South Dakota, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Richard D'avanzo (Dds)

A dentist like Candid South Dakota, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003423104

Provider NameCANDID SOUTH DAKOTA, LLC
Provider Location Address519 W 22ND ST STE 100 SIOUX FALLS, SD 57105
Provider Mailing Address519 W 22ND ST STE 100 SIOUX FALLS, SD 57105
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-23-2020
Last Update Date09-23-2020


Primary Taxonomy

Taxonomy Code1223X0400X
ClassificationDentist
TypeDental Providers
SpecializationOrthodontics and Dentofacial Orthopedics
Taxonomy DescriptionThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Business Address

CANDID SOUTH DAKOTA, LLC
519 W 22ND ST STE 100
SIOUX FALLS, SD
ZIP 57105
Phone: (860) 481-7631

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Mailing Address

CANDID SOUTH DAKOTA, LLC
519 W 22ND ST STE 100
SIOUX FALLS, SD
ZIP 57105
Phone: (860) 481-7631



Authorized Official

Authorized Official Name RICHARD D'AVANZO
Authorized Official TitleDDS
Authorized Official Phone(860) 481-7631

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598325375OSD CARE OF SD, LLC
Organization
Orthopaedic Surgery519 W 22ND ST STE 100
SIOUX FALLS, SD 57105
(615) 733-2064
1932769718SSD CARE OF SD, LLC
Organization
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)519 W 22ND ST STE 100
SIOUX FALLS, SD 57105
(615) 733-2064
1518527399CSD CARE OF SD, LLC
Organization
Internal Medicine (Cardiovascular Disease)519 W 22ND ST STE 100
SIOUX FALLS, SD 57105
(615) 733-2064

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.