OrganizationActive
Prairie Trails Family Dental LLC
NPI 1336485424 · Dentist · Corydon, IA
Prairie Trails Family Dental LLC is a Dentist organization in Corydon, IA (NPI 1336485424).
Provider details
- NPI number
- 1336485424
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Susan Henderson, Dir. Administrative Services(641) 872-5341
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E South St
Corydon, IA 50060-1724
Phone: (641) 872-2514
Fax: (641) 872-1152
Street-level locationGet directions
Mailing address
Po Box 284
Corydon, IA 50060-0284
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2013-11-18
Frequently asked questions
- What is Prairie Trails Family Dental LLC's NPI number?
- Prairie Trails Family Dental LLC's National Provider Identifier (NPI) is 1336485424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Trails Family Dental LLC?
- Prairie Trails Family Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Prairie Trails Family Dental LLC located?
- Prairie Trails Family Dental LLC's practice location on file with NPPES is 100 E South St, Corydon, IA 50060-1724.
- What is Prairie Trails Family Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie Trails Family Dental LLC is (641) 872-2514.
- Who is the authorized official for Prairie Trails Family Dental LLC?
- The authorized official listed on Prairie Trails Family Dental LLC's NPPES record is Susan Henderson, Dir. Administrative Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Trails Family Dental LLC's NPI active?
- Yes — Prairie Trails Family Dental LLC's NPI (1336485424) is active in the NPPES registry as of the last update on 2013-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.