Prairie Ridge Endodontics
NPI #1578926333 in Watertown, South Dakota
Provider Information
- NPI Number
- 1578926333
- Entity Type
- Organization
- Organization Name
- Prairie Ridge Endodontics
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Mar 30, 2016
- Last Updated
- Aug 16, 2019
Practice Location
- Address
- 600 4TH ST NE SUITE 101
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201
- Phone
- (605) 878-0180
Authorized Official
- Name
- DR. MICHAEL JOHN HAWLEY, DDS
- Title
- OWNER
- Phone
- (605) 878-0180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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| DR. Thane Crump, DDS |  AI Deep Dive |
| DR. Anne Elizabeth Wiseman, D.D.S., M.S.D. | AI Deep Dive |
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Organizations
| Provider Name | |
|---|---|
| Prairie Ridge Endodontics LLC | AI Deep Dive |
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