| Boulevard Dental | |
|
801 Mount Rushmore Rd Suite 201 Rapid City SD 57701-3614 | |
| (605) 341-1895 | |
| Not Available |
| Full Name | Boulevard Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 801 Mount Rushmore Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Michael H Doerr (PRESIDENT) |
| 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 | 1952768186 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952768186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D1092 (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 | |
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