| Black Hills Orthodontics, Prof. L.l.c. | |
|
1165 Eglin St Ste 200 Rapid City SD 57701-9634 | |
| (605) 646-7930 | |
| Not Available |
| Full Name | Black Hills Orthodontics, Prof. L.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1165 Eglin St Ste 200, Rapid City, South Dakota |
| Authorized Official Name and Position | Jesse Michael Dana (VICE PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 6057172722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Orthodontics, Prof. L.l.c. 1165 Eglin St Ste 200 Rapid City SD 57701-9634 Ph: (605) 646-7930 | Black Hills Orthodontics, Prof. L.l.c. 1165 Eglin St Ste 200 Rapid City SD 57701-9634 Ph: (605) 646-7930 |
| NPI Number | 1346069135 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346069135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Dakota Regional Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
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Carl R. Stonecipher Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite 9, Rapid City, SD 57702 Phone: 605-348-0831 Fax: 605-348-0602 | |
Lyde J. Adams, D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St, Ste # 206, Rapid City, SD 57702 Phone: 605-348-4868 Fax: 605-737-7870 | |
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Brian G. Criss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-342-6652 Fax: 605-342-6656 |