| Boulevard Dental | |
|
801 Mount Rushmore Rd Suite 201 Rapid City SD 57701-3614 | |
| (605) 341-1895 | |
| (605) 348-7177 |
| Full Name | Boulevard Dental |
|---|---|
| Speciality | Dentist |
| Location | 801 Mount Rushmore Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Greg A. Hanson (OWNER) |
| Authorized Official Contact | 6053411895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental 801 Mount Rushmore Rd Suite 201 Rapid City SD 57701-3614 Ph: (605) 341-1895 | Boulevard Dental 801 Mount Rushmore Rd Suite 201 Rapid City SD 57701-3614 Ph: (605) 341-1895 |
| NPI Number | 1578725842 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578725842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M514 (South Dakota) | 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 |