NORTH MAIN FAMILY DENTISTRY LLC
NPI 1053050336
Dentist - General Practice in Brookings, SD

Active since June 03, 2022
717 MAIN AVE, BROOKINGS, SD 57006(605) 692-4715(605) 692-2427 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Main Family Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH MAIN FAMILY DENTISTRY LLC (NPI 1053050336) is a healthcare organization registered as a general practice in Brookings, South Dakota and active in the NPI registry since June 2022. The organization lists Jeanne Myers, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053050336
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH MAIN FAMILY DENTISTRY LLC
Location Address717 MAIN AVEBrookings, SD 57006-1426
Mailing Address2810 Riveridge LnGreen Bay, WI 54313-9535 · (920) 530-0022
Fax(605) 692-2427
Organization SubpartNo
Authorized OfficialJeanne MyersCredentialing Coordinator · (605) 884-9341
Enumeration DateJune 3, 2022
NPPES CertifiedJune 2, 2022
NPI 1053050336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

717 MAIN AVE, Brookings, SD 57006

Group Practice 1

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
717 MAIN AVE
BROOKINGS, SD 57006
Dentist (General Practice)
717 MAIN AVE
BROOKINGS, SD 57006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Main Family Dentistry LLC's NPI number?

The NPI number for North Main Family Dentistry LLC is 1053050336. It was assigned to this organization in the NPPES registry on June 3, 2022.

Where is North Main Family Dentistry LLC located?

North Main Family Dentistry LLC is located at 717 Main Ave, Brookings, SD 57006. The listed phone number is (605) 692-4715.

What is North Main Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for North Main Family Dentistry LLC was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.