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CLEAR LAKE DENTAL LLC
NPI 1629436381
Clinic/Center - Dental in Clear Lake, SD

Active since February 09, 2016
210 3RD AVE SOUTH, CLEAR LAKE, SD 57226(605) 874-2230(605) 874-2675 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clear Lake Dental Llc NPPES

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

CLEAR LAKE DENTAL LLC (NPI 1629436381) is a healthcare organization registered as a dental in Clear Lake, South Dakota and active in the NPI registry since February 2016. The organization lists Brian Kelly Prouty, Owner, as its authorized official.

NPPES Registry Identity

NPI1629436381
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCLEAR LAKE DENTAL LLC
Location Address210 3RD AVE SOUTHClear Lake, SD 57226
Mailing Address210 3rd Ave SouthClear Lake, SD 57226 · (605) 874-2230 · Fax (604) 874-2675
Phone(605) 874-2230
Fax(605) 874-2675
Organization SubpartNo
Authorized OfficialBrian Kelly ProutyOwner · (605) 874-2230
Enumeration DateFebruary 9, 2016
✔ NPI 1629436381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
210 3RD AVE SOUTH, Clear Lake, SD 57226
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Other Providers at the Same Location NPPES

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

EMBRACE CLEAR LAKE LLC
Dentist (General Practice)
210 3RD AVE SOUTH
CLEAR LAKE, SD 57226
Deuel County (605) 874-2230

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 Clear Lake Dental LLC's NPI number?

The NPI number for Clear Lake Dental LLC is 1629436381. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Clear Lake Dental LLC located?

Clear Lake Dental LLC is located at 210 3rd Ave South, Clear Lake, SD 57226. The listed phone number is (605) 874-2230.

What is Clear Lake Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Clear Lake Dental LLC was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.