Prairie Ridge Endodontics LLC
NPI 1336866557ActiveOrganization· Dentist, Endodontics· Watertown, SD
Dentist, Endodontics in Watertown, South Dakota, registered in NPPES in October 2022. The authorized official on file is Sara Katherine Evans, Office Manager.
Overview
| NPI | 1336866557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2022 |
| Last updated in NPPES | Oct 27, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Endodontics providers in Watertown
- 1578926333
- 1831391499
- 1710195896