DAKOTA REGIONAL PERIODONTICS LLC NPI 1962983205

NPI Information

DAKOTA REGIONAL PERIODONTICS, LLC 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. DAKOTA REGIONAL PERIODONTICS, LLC NPI is 1962983205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 JACKSON BLVD STE 6
RAPID CITY, SD
ZIP 57702-477
Phone: (605) 348-2556
Fax: (605) 348-1526

The provider's authorized official is Mark Allen Terry .
The authorized official title is Partner/owner and has the following contact phone number (605) 348-2556.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 8/24/2018.

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:

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