PRAIRIE DENTAL ASSOCIATES
NPI 1174533210
Dentist in Great Bend, KS

Q: What is Prairie Dental Associates's NPI number?

The NPI number for Prairie Dental Associates is 1174533210. It was assigned to this organization in the NPPES registry on August 9, 2006.

Q: What is Prairie Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 09, 2006

1701 WILLIAMS, GREAT BEND, KS 67530(620) 792-1941(620) 792-2766 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Dental Associates NPPES

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

PRAIRIE DENTAL ASSOCIATES (NPI 1174533210) is a healthcare organization registered as a dentist in Great Bend, Kansas and active in the NPI registry since August 2006. The organization lists Dee Jo Holman, Dentist Owner Sec-treasurer, as its authorized official.

NPPES Registry Identity

NPI1174533210

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePRAIRIE DENTAL ASSOCIATES

Location Address1701 WILLIAMSGreat Bend, KS 67530-2542

Mailing Address1701 WilliamsGreat Bend, KS 67530-2542 · (620) 792-1941 · Fax (620) 792-2766

Phone(620) 792-1941

Fax(620) 792-2766

Organization SubpartNo

Authorized OfficialDee Jo HolmanDentist Owner Sec-treasurer · (620) 792-1941

Enumeration DateAugust 9, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1174533210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KS · 5951

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1701 WILLIAMS, Great Bend, KS 67530

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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

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 Prairie Dental Associates's NPI number?

The NPI number for Prairie Dental Associates is 1174533210. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Prairie Dental Associates located?

Prairie Dental Associates is located at 1701 Williams, Great Bend, KS 67530. The listed phone number is (620) 792-1941.

What is Prairie Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Prairie Dental Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.