| Mason Alexander Hericks, | |
|
2606 Elderberry Blvd Ste 1, Rapid City, SD 57703-5981 | |
| (605) 737-3150 | |
| Not Available |
| Full Name | Mason Alexander Hericks |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2606 Elderberry Blvd Ste 1, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023852175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1453 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Alexander Hericks, 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703-5981 Ph: (605) 737-3150 | Mason Alexander Hericks, 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703-5981 Ph: (605) 737-3150 |
Kelly Lytle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Jackson Blvd, Rapid City, SD 57702 Phone: 605-342-0989 | |
Dr. Sierra Rae Schafer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1147 Eglin St, Rapid City, SD 57701 Phone: 605-865-2123 | |
Dr. Jack H Weaver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3712 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-342-3939 Fax: 605-341-2766 | |
Dr. Harold A Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Dr. Bart Aaron Samuelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Federal Ave, Rapid City, SD 57702 Phone: 605-348-4657 Fax: 605-348-4382 | |
Jeffrey Herbert Wiswall, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St Ste 307, Rapid City, SD 57702 Phone: 605-716-3546 |