| Cooley Prosthetic Dentistry | |
|
2525 W Main St Ste 205 Rapid City SD 57702-2439 | |
| (605) 716-9061 | |
| Not Available |
| Full Name | Cooley Prosthetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2525 W Main St Ste 205, Rapid City, South Dakota |
| Authorized Official Name and Position | David Cooley (OWNER) |
| Authorized Official Contact | 6057169061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooley Prosthetic Dentistry 2525 W Main St Ste 205 Rapid City SD 57702-2439 Ph: (605) 716-9061 | Cooley Prosthetic Dentistry 2525 W Main St Ste 205 Rapid City SD 57702-2439 Ph: (605) 716-9061 |
| NPI Number | 1740689645 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740689645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | M755 (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 | |
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