Black Hills Pediatric Dentistry in Rapid City - Pediatric Dentistry
Black Hills Pediatric Dentistry - NPI 1194867499
Black Hills Pediatric Dentistry is a Pediatric Dentistry in Rapid City, South Dakota. Black Hills Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Black Hills Pediatric Dentistry is 1194867499. The last update date is 2022-08-17.
Black Hills Pediatric Dentistry's current location address is 700 Sheridan Lake Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053413068 and fax number 6053415757. The mailing address for Black Hills Pediatric Dentistry is 700 Sheridan Lake Rd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black Hills Pediatric Dentistry |
|---|---|
| Address | 700 Sheridan Lake Rd, Rapid City, South Dakota |
| Phone Number | 6053413068 |
| Fax Number | 6053415757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Torok-Hoben Pamm |
| Telephone Number | 6053413068 |
NPI Number Detail
| NPI Number | 1194867499 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2022-08-17 |
Provider Mailing Address Detail
| Address | 700 Sheridan Lake Rd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577022407 |
| Phone Number | 6053413068 |
| Fax Number | 6053415757 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100249748-00 | NE | -- | |
| 118314100 | WY | -- | |
| 7805000 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Black Hills Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Black Hills Pediatric Dentistry has been assigned the NPI (National Provider Identifier) 1194867499 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Black Hills Pediatric Dentistry?
The Black Hills Pediatric Dentistry is physically situated at 700 Sheridan Lake Rd, in the city of Rapid City, state of SD, with the postal code 577022407.
What is Black Hills Pediatric Dentistry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Black Hills Pediatric Dentistry is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Black Hills Pediatric Dentistry receive the assignment of its 1194867499 from the Centers for Medicare & Medicaid Services?
The Black Hills Pediatric Dentistry was issued its 1194867499 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the Black Hills Pediatric Dentistry's details last updated?
The information pertaining to the Black Hills Pediatric Dentistry, including its address, specialty, and other details, was most recently updated on 2022-08-17.