Prairie Ridge Endodontics
NPI 1578926333ActiveOrganization· Dentist, Endodontics· Watertown, SD
Dentist, Endodontics in Watertown, South Dakota, registered in NPPES in March 2016. The authorized official on file is Michael John Hawley, DDS, Owner.
Overview
| NPI | 1578926333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2016 |
| Last updated in NPPES | Aug 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D0515 | SD |
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
- 1336866557
- 1831391499
- 1710195896