Provider Demographics
NPI:1356819718
Name:THE DENTIST AT ELK POINT, PC
Entity Type:Organization
Organization Name:THE DENTIST AT ELK POINT, PC
Other - Org Name:ELK POINT DENTAL CARE, CRAIG N, BURHOOP, DDS, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:BURHOOP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-356-2271
Mailing Address - Street 1:333 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SIOUX
Mailing Address - State:SD
Mailing Address - Zip Code:57049
Mailing Address - Country:US
Mailing Address - Phone:712-259-3299
Mailing Address - Fax:712-276-8403
Practice Address - Street 1:109 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ELK POINT
Practice Address - State:SD
Practice Address - Zip Code:57025
Practice Address - Country:US
Practice Address - Phone:605-356-2271
Practice Address - Fax:605-356-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental