BLACK HILLS ORTHODONTICS PROF. L.L.C. NPI 1205393394

NPI Information

NPI: 1205393394
Provider Name: BLACK HILLS ORTHODONTICS, PROF. L.L.C.

Doing Business As: RAPID CITY ORTHODONTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5150 5TH ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-4975
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BLACK HILLS ORTHODONTICS, PROF. L.L.C. is a dental clinic center in Rapid City, SD. BLACK HILLS ORTHODONTICS, PROF. L.L.C. NPI is 1205393394. The provider is registered as an organization entity type.
The provider Is Doing Business As Rapid City Orthodontics.

The provider's business location address is:

5150 5TH ST
RAPID CITY, SD
ZIP 57701-023
Phone: (605) 343-4975

The provider's authorized official is Jesse Michael Dana .
The authorized official title is Owner and has the following contact phone number (605) 717-2722.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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