institution
Black Hills Pediatric Dentistry
Pediatric Dentist in Rapid City, South Dakota
NPI 1194867499

Black Hills Pediatric Dentistry is a Pediatric Dentist based in Rapid City, SD and is specialized in Pediatric Dentistry. Black Hills Pediatric Dentistry practices in Rapid City, SD. The NPI Number for Black Hills Pediatric Dentistry is 1194867499 and holds a License No. (South Dakota).

The current practice location address for Black Hills Pediatric Dentistry is 700 Sheridan Lake Rd, Rapid City, SD and can be reached out via phone at 605-341-3068 and via fax at 605-341-5757.

Location: 700 Sheridan Lake Rd, Rapid City, SD, 57702-2407
institution
Provider Profile Details
NPI Number
1194867499
Provider Name
Black Hills Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
700 Sheridan Lake Rd, Rapid City, SD, 57702-2407
Phone Number
605-341-3068
Fax Number
605-341-5757
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100249748-00 05 NE
118314100 05 WY
7805000 05 SD
institution
Provider Business Practice Location Address Details
Address
700 Sheridan Lake Rd
City
State
Zip
57702-2407
Phone Number
605-341-3068
Fax Number
605-341-5757
person
Provider Business Mailing Address Details
Address
700 Sheridan Lake Rd
City
State
Zip
57702-2407
Phone Number
605-341-3068
Fax Number
605-341-5757
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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