| Black Hills Pediatric Dentistry | |
|
700 Sheridan Lake Rd Rapid City SD 57702-2407 | |
| (605) 341-3068 | |
| (605) 341-5757 |
| Full Name | Black Hills Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 700 Sheridan Lake Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Pamm Torok-hoben (CEO) |
| Authorized Official Contact | 6053413068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Pediatric Dentistry 700 Sheridan Lake Rd Rapid City SD 57702-2407 Ph: (605) 341-3068 | Black Hills Pediatric Dentistry 700 Sheridan Lake Rd Rapid City SD 57702-2407 Ph: (605) 341-3068 |
| NPI Number | 1194867499 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194867499 | NPI | - | NPPES |
| 100249748-00 | Medicaid | NE | |
| 118314100 | Medicaid | WY | |
| 7805000 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (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 | |
Nelson Dental & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-341-3670 | |
Evans Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Dakota Drive, Rapid City, SD 57702 Phone: 605-342-7777 Fax: 605-342-2275 | |
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 | |
Dakota Dental 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5509 Bendt Dr Ste 302, Rapid City, SD 57702 Phone: 605-342-5995 | |
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 |