Rushmore Dental | |
1600 Mountain View Rd Suite 104 Rapid City SD 57702-4381 | |
(605) 430-9748 | |
Not Available |
Full Name | Rushmore Dental |
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Speciality | Dentist |
Location | 1600 Mountain View Rd, Rapid City, South Dakota |
Authorized Official Name and Position | Timothy Lynn Kelly (PRESIDENT) |
Authorized Official Contact | 6054309748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rushmore Dental 1600 Mountain View Rd Suite 104 Rapid City SD 57702-4381 Ph: (605) 430-9748 | Rushmore Dental 1600 Mountain View Rd Suite 104 Rapid City SD 57702-4381 Ph: (605) 430-9748 |
NPI Number | 1699132993 |
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Provider Enumeration Date | 01/19/2016 |
Last Update Date | 03/18/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699132993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D0505 (South Dakota) | Primary |
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