Provider Demographics
NPI:1689681389
Name:DRS. MICHAEL & DARCIE BRIGGS, DDS, PC
Entity Type:Organization
Organization Name:DRS. MICHAEL & DARCIE BRIGGS, DDS, PC
Other - Org Name:YANKTON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - VP
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-665-6223
Mailing Address - Street 1:1818 BROADWAY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-2100
Mailing Address - Country:US
Mailing Address - Phone:605-665-6223
Mailing Address - Fax:605-665-2694
Practice Address - Street 1:1818 BROADWAY AVE STE 1
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-2100
Practice Address - Country:US
Practice Address - Phone:605-665-6223
Practice Address - Fax:605-665-2694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM923122300000X
NE6272122300000X
SDM921122300000X
NE6273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7806570Medicaid
NE10025399000Medicaid