EB WHILLOCK DDS LTD. NPI 1942334727

NPI Information

NPI: 1942334727
Provider Name: EB WHILLOCK DDS, LTD.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
804 WEST BLVD
RAPID CITY, SD
ZIP 57701
Phone: (605) 348-2040
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EB WHILLOCK DDS, LTD. is a periodontics dentist in Rapid City, SD. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. EB WHILLOCK DDS, LTD. NPI is 1942334727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 WEST BLVD
RAPID CITY, SD
ZIP 57701-577
Phone: (605) 348-2040
Fax: (605) 348-6712

The provider's authorized official is Edward Boyd Whillock .
The authorized official title is Periodontist and has the following contact phone number (605) 348-2040.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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	1223P0300X	Dentist	Periodontics	M-347	SOUTH DAKOTA	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: 11/14/2023

NPI Synchronization or Removal

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