RICHARD A RAUSCHENBACH DDS NPI 1164002242

NPI Information

NPI: 1164002242
Provider Name: RICHARD A RAUSCHENBACH, DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 43D1044324

Address:
1300 S GRANGE AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 338-2163
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RICHARD A RAUSCHENBACH, DDS is a dental clinic center in Sioux Falls, SD. RICHARD A RAUSCHENBACH, DDS NPI is 1164002242. The provider is registered as an organization entity type.

The provider's business location address is:

1300 S GRANGE AVE
SIOUX FALLS, SD
ZIP 57105-418
Phone: (605) 338-2163
Fax: (605) 275-4057

The provider's authorized official is Richard A. Rauschenbach .
The authorized official title is Owner and has the following contact phone number (605) 338-2163.

The CLIA number assigned to this NPI record is 43D1044324 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 4/12/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 4/28/2024

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