Provider Demographics
NPI:1447291174
Name:GENERAL DENTISTRY, LTD.
Entity type:Organization
Organization Name:GENERAL DENTISTRY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-339-1381
Mailing Address - Street 1:3508 S MINNESOTA AVE
Mailing Address - Street 2:SUITE #108
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6461
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3508 S MINNESOTA AVE
Practice Address - Street 2:SUITE #108
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6461
Practice Address - Country:US
Practice Address - Phone:605-339-1381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM420261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental