Thomas E Benjamin, DDS | |
2620 Jackson Blvd Ste B, Rapid City, SD 57702-3478 | |
(605) 348-1712 | |
Not Available |
Full Name | Thomas E Benjamin |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 2620 Jackson Blvd Ste B, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508081324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D0620 (South Dakota) | Primary |
Entity Name | Eagle Butte Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
Mailing Address | Practice Location Address |
---|---|
Thomas E Benjamin, DDS 2620 Jackson Blvd Ste B, Rapid City, SD 57702-3478 Ph: (605) 348-1712 | Thomas E Benjamin, DDS 2620 Jackson Blvd Ste B, Rapid City, SD 57702-3478 Ph: (605) 348-1712 |
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 | |
Mason Alexander Hericks, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703 Phone: 605-737-3150 | |
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 |