EMBRACE CLEAR LAKE LLC
NPI 1639948482
Dentist - General Practice in Clear Lake, SD

Active since December 21, 2023
210 3RD AVE SOUTH, CLEAR LAKE, SD 57226(605) 874-2230(605) 657-0054 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embrace Clear Lake Llc NPPES

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

EMBRACE CLEAR LAKE LLC (NPI 1639948482) is a healthcare organization registered as a general practice in Clear Lake, South Dakota and active in the NPI registry since December 2023. The organization lists Brian Prouty, Owner, as its authorized official.

NPPES Registry Identity

NPI1639948482
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEMBRACE CLEAR LAKE LLC
Location Address210 3RD AVE SOUTHClear Lake, SD 57226
Mailing Address210 3rd Ave SouthClear Lake, SD 57226 · (605) 874-2230 · Fax (605) 657-0054
Fax(605) 657-0054
Organization SubpartNo
Authorized OfficialBrian ProutyOwner · (605) 874-2230
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 20, 2023
NPI 1639948482 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.
210 3RD AVE SOUTH, Clear Lake, SD 57226

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

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

Clinic/Center (Dental)
210 3RD AVE SOUTH
CLEAR LAKE, SD 57226

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 Embrace Clear Lake LLC's NPI number?

The NPI number for Embrace Clear Lake LLC is 1639948482. It was assigned to this organization in the NPPES registry on December 21, 2023.

Where is Embrace Clear Lake LLC located?

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

What is Embrace Clear Lake 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 Embrace Clear Lake LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.