Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669963369 Individual Practitioner Female Practitioner

Dr. Devan Marie Donnelly , DMD

Dentist - General Practice • Elk Point, SD

Professional Overview & Biography Verified Profile Summary

Dr. Devan Donnelly, DMD is a registered healthcare professional specializing in Dentist - General Practice in Elk Point, SD. Practice services are available at 109 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 E Main St

Elk Point, SD 570252310

Telephone 6053562271
Associated Practice Facility / Clinic
🏢 The Dentist At Elk Point, Pc Facility NPI 1356819718

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elk Point, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Elk Point, SD (333 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-09537

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID South Dakota Dental Board
D1201 (SD)
Commercial Insurance / Payer ID Iowa Dental Board
DDS-09537 (IA)

Secondary Practice Locations

3434 S Lakeport St

Sioux City, IA 511064509

Phone: 7122768391

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jim Slattery , DDS

Dentist - General Practice

NPI 1265586242

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 09, 2023

Registered at 109 E MAIN ST, ELK POINT, SD 570252310 (Tel: 6053562271)

📍
Updated Business Mailing Address February 09, 2023

Registered at PO BOX 368, ELK POINT, SD 570250368 (Tel: 6053562271)

👤
Provider Name / Credentials Updated February 09, 2023

Recorded as DEVAN DONNELLY, DMD

NPI Profile Active May 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2018

Registered at 3434 S LAKEPORT ST, SIOUX CITY, IA 511064509 (Tel: 7122768391)

📍
Updated Business Mailing Address May 29, 2018

Registered at 3434 S LAKEPORT ST, SIOUX CITY, IA 511064509 (Tel: 7122768391)

👤
Provider Name / Credentials Updated May 29, 2018

Recorded as DEVAN PENFIELD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Dentist (License #DDS-09537 in IA)

🟢
Initial NPI Registration & Enumeration May 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669963369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2018
Last Update: February 09, 2023
Sole Proprietor: No

Mailing Address

Po Box 368

Elk Point, SD 570250368

Phone: 6053562271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.