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RAPID CITY ORAL SURGERY PROF LLC NPI 1982384483


NPI Information

NPI: 1982384483
Provider Name: RAPID CITY ORAL SURGERY PROF LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
330 E STUMER RD
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-3400
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RAPID CITY ORAL SURGERY PROF LLC is an oral maxillofacial surgery in Rapid City, SD. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. RAPID CITY ORAL SURGERY PROF LLC NPI is 1982384483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 E STUMER RD
RAPID CITY, SD
ZIP 57701-406
Phone: (605) 348-3400

The provider's authorized official is Isaac Morgan .
The authorized official title is Partner/treasurer and has the following contact phone number (605) 430-5625.

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/19/2023.


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
1204E00000XOral & Maxillofacial SurgeryYes

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

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