| Nba, Pllc | |
|
2006 Mount Rushmore Rd Ste 1 Rapid City SD 57701-4726 | |
| (605) 343-9352 | |
| (605) 343-3115 |
| Full Name | Nba, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2006 Mount Rushmore Rd Ste 1, Rapid City, South Dakota |
| Authorized Official Name and Position | Kate Haave (MANAGING MEMBER) |
| Authorized Official Contact | 6054309913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nba, Pllc 2006 Mount Rushmore Rd Ste 1 Rapid City SD 57701-4726 Ph: (605) 343-9352 | Nba, Pllc 2006 Mount Rushmore Rd Ste 1 Rapid City SD 57701-4726 Ph: (605) 343-9352 |
| NPI Number | 1841027851 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841027851 | NPI | - | NPPES |
| 1871830851 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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