Black Hills Oral & Maxillofacial Surgery Pc in Rapid City - Oral And Maxillofacial Pathology

Black Hills Oral & Maxillofacial Surgery Pc - NPI 1063486926

Black Hills Oral & Maxillofacial Surgery Pc is a Oral And Maxillofacial Pathology in Rapid City, South Dakota. Black Hills Oral & Maxillofacial Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Black Hills Oral & Maxillofacial Surgery Pc is 1063486926. The last update date is 2020-08-22.

Black Hills Oral & Maxillofacial Surgery Pc's current location address is Po Box 5690, Rapid City, South Dakota. You can contact this provider via phone number 6053486818 and fax number 6053484690. The mailing address for Black Hills Oral & Maxillofacial Surgery Pc is Po Box 5690, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Black Hills Oral & Maxillofacial Surgery Pc
Address Po Box 5690, Rapid City, South Dakota
Phone Number 6053486818
Fax Number 6053484690
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilson Cave Roger
Credentials DDS, MS
Telephone Number 6053486818

NPI Number Detail

NPI Number 1063486926
Provider Enumeration Date 2006-02-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 5690
City Rapid City
State South Dakota (SD)
Post Code 577095690
Phone Number 6053486818
Fax Number 6053484690

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No M367
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8000140 SD --
8000050 SD --

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FAQs about Black Hills Oral & Maxillofacial Surgery Pc

What is the Black Hills Oral & Maxillofacial Surgery Pc's unique identification number?

The Black Hills Oral & Maxillofacial Surgery Pc has been assigned the NPI (National Provider Identifier) Number 1063486926 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 address where Black Hills Oral & Maxillofacial Surgery Pc is geographically located?

The Black Hills Oral & Maxillofacial Surgery Pc is physically situated at the following location: Po Box 5690, Rapid City, SD, 577095690.

What is Black Hills Oral & Maxillofacial Surgery Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Black Hills Oral & Maxillofacial Surgery Pc is Oral And Maxillofacial Pathology, and the corresponding taxonomy classification code for this specialized field is 1223P0106X.

When was the Black Hills Oral & Maxillofacial Surgery Pc's 1063486926 issued?

The Black Hills Oral & Maxillofacial Surgery Pc's 1063486926 was issued on 2006-02-15.

As of what date were the details pertaining to Black Hills Oral & Maxillofacial Surgery Pc last refreshed?

The information related to the Black Hills Oral & Maxillofacial Surgery Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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