James L. Bockwoldt, Dds, Pc in Rapid City - General Practice
James L. Bockwoldt, Dds, Pc - NPI 1194859256
James L. Bockwoldt, Dds, Pc is a General Practice in Rapid City, South Dakota. James L. Bockwoldt, Dds, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for James L. Bockwoldt, Dds, Pc is 1194859256. The last update date is 2013-01-02.
James L. Bockwoldt, Dds, Pc's current location address is 2620 Jackson Blvd, Rapid City, South Dakota. You can contact this provider via phone number 6053481712 and fax number 6057167529. The mailing address for James L. Bockwoldt, Dds, Pc is 2620 Jackson Blvd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James L. Bockwoldt, Dds, Pc |
|---|---|
| Address | 2620 Jackson Blvd, Rapid City, South Dakota |
| Phone Number | 6053481712 |
| Fax Number | 6057167529 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bockwoldt L James |
| Credentials | DDS |
| Telephone Number | 6053481712 |
NPI Number Detail
| NPI Number | 1194859256 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2013-01-02 |
Provider Mailing Address Detail
| Address | 2620 Jackson Blvd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577021502 |
| Phone Number | 6053481712 |
| Fax Number | 6057167529 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | M636 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7809990 | SD | -- | |
| 785779 | SD | UNITED CONCORDIA |
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What is the unique 10-digit identification code issued to James L. Bockwoldt, Dds, Pc by the Centers for Medicare & Medicaid Services?
The James L. Bockwoldt, Dds, Pc has been assigned the NPI (National Provider Identifier) 1194859256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where James L. Bockwoldt, Dds, Pc's facilities are geographically located?
The facilities of James L. Bockwoldt, Dds, Pc are physically situated at the following location: 2620 Jackson Blvd, Rapid City, SD, 577021502.
What is the James L. Bockwoldt, Dds, Pc's area of specialization and corresponding taxonomy classification?
The James L. Bockwoldt, Dds, Pc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the James L. Bockwoldt, Dds, Pc receive its 1194859256 assignment from the Centers for Medicare & Medicaid Services?
The James L. Bockwoldt, Dds, Pc was assigned its 1194859256 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date was the information regarding James L. Bockwoldt, Dds, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James L. Bockwoldt, Dds, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-02.
NPI Number: 1942206313
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