Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2026-06-04
- Last updated
- 2026-06-04
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1930 E GATEWAY BLVD, SUITE A
- City
- TEA SD
- Postal code
- 57201
- Phone
- 605-949-0507
Organization contact
- Name
- SYDNEY EBBEN-CARMODY
- Title
- Dentist
- Phone
- 6059490507
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.