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James L. Bockwoldt, Dds, Pc
General Practice Dentistry in Rapid City, South Dakota
NPI 1194859256

James L. Bockwoldt, Dds, Pc is a General Practice Dentistry based in Rapid City, SD and is specialized in General Practice. James L. Bockwoldt, Dds, Pc practices in Rapid City, SD. The NPI Number for James L. Bockwoldt, Dds, Pc is 1194859256 and holds a License No. M636 (South Dakota).

The current practice location address for James L. Bockwoldt, Dds, Pc is 2620 Jackson Blvd, Rapid City, SD and can be reached out via phone at 605-348-1712 and via fax at 605-716-7529.

Location: 2620 Jackson Blvd, Rapid City, SD, 57702-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194859256
Provider Name
James L. Bockwoldt, Dds, Pc
Credential
Provider Entity Type
Organization
Address
2620 Jackson Blvd, Rapid City, SD, 57702-1502
Phone Number
605-348-1712
Fax Number
605-716-7529
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7809990 05 SD
785779 01 SD UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2620 Jackson Blvd
City
Rapid City
State
South Dakota
Zip
57702-1502
Phone Number
605-348-1712
Fax Number
605-716-7529
person
Provider Business Mailing Address Details
Address
2620 Jackson Blvd
City
Rapid City
State
South Dakota
Zip
57702-1502
Phone Number
605-348-1712
Fax Number
605-716-7529
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
M636 (South Dakota)
Definition
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.
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