PRAIRIE TRAILS FAMILY DENTAL LLC
NPI 1336485424
Dentist in Corydon, IA

Q: What is Prairie Trails Family Dental LLC's NPI number?

The NPI number for Prairie Trails Family Dental LLC is 1336485424. It was assigned to this organization in the NPPES registry on December 18, 2012.

Q: What is Prairie Trails Family Dental LLC's specialty?

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

Active since December 18, 2012

100 E SOUTH ST, CORYDON, IA 50060(641) 872-2514(641) 872-1152 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prairie Trails Family Dental Llc NPPES

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

PRAIRIE TRAILS FAMILY DENTAL LLC (NPI 1336485424) is a healthcare organization registered as a dentist in Corydon, Iowa and active in the NPI registry since December 2012. The organization lists Susan Henderson, Dir. Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1336485424

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePRAIRIE TRAILS FAMILY DENTAL LLC

Location Address100 E SOUTH STCorydon, IA 50060-1724

Mailing AddressPo Box 284Corydon, IA 50060-0284 · (641) 872-2514 · Fax (641) 872-1152

Phone(641) 872-2514

Fax(641) 872-1152

Organization SubpartNo

Authorized OfficialSusan HendersonDir. Administrative Services · (641) 872-5341

Enumeration DateDecember 18, 2012

Last NPPES UpdateNovember 18, 2013

✔ NPI 1336485424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

100 E SOUTH ST, Corydon, IA 50060

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

ASHTON WICKWIRE DDS

Dentist (General Practice)