Advanced Family Dental Pc in Rapid City - General Practice
Advanced Family Dental Pc - NPI 1396836466
Advanced Family Dental Pc is a General Practice in Rapid City, South Dakota. Advanced Family Dental Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Advanced Family Dental Pc is 1396836466. The last update date is 2020-08-22.
Advanced Family Dental Pc's current location address is 1801 Mount Rushmore Rd, Rapid City, South Dakota. You can contact this provider via phone number 6057167509 and fax number 6057167799. The mailing address for Advanced Family Dental Pc is 1801 Mount Rushmore Rd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Family Dental Pc |
|---|---|
| Address | 1801 Mount Rushmore Rd, Rapid City, South Dakota |
| Phone Number | 6057167509 |
| Fax Number | 6057167799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Segrist W Jay |
| Credentials | DDS |
| Telephone Number | 6057167509 |
NPI Number Detail
| NPI Number | 1396836466 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1801 Mount Rushmore Rd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577014564 |
| Phone Number | 6057167509 |
| Fax Number | 6057167799 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | M960 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Advanced Family Dental Pc's unique identification number?
The Advanced Family Dental Pc has been assigned the NPI (National Provider Identifier) Number 1396836466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Advanced Family Dental Pc's facilities are situated?
The facilities of Advanced Family Dental Pc are physically located at the following address: 1801 Mount Rushmore Rd, Rapid City, SD, 577014564.
What is Advanced Family Dental Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Advanced Family Dental Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Advanced Family Dental Pc receive its 1396836466 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Family Dental Pc was assigned its 1396836466 by the Centers for Medicare & Medicaid Services on 2006-09-27.
When was the information regarding Advanced Family Dental Pc most recently updated?
The details pertaining to the Advanced Family Dental Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.