Sd Specialty Dental Services, LLC
NPI 1548000300ActiveOrganization· Dentist, Pediatric Dentistry· Sioux Falls, SD
Dentist, Pediatric Dentistry in Sioux Falls, South Dakota, registered in NPPES in May 2024, part of Sd Specialty Dental Services, LLC. The authorized official on file is Charlotte Dasch, Director Of Cred And Pr.
Overview
| NPI | 1548000300 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sd Specialty Dental Services, LLC |
| NPI issued | May 29, 2024 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
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 |
|---|
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