Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON BOULEVARD DENTAL ASSOCIATES
Active OrganizationJACKSON BOULEVARD DENTAL ASSOCIATES is a Dentist organization located in RAPID CITY, South Dakota. NPI 1629315932 is currently active in the NPPES registry. Verify at CMS.
Dentist · RAPID CITY, SD
Registration Details
- NPI Number
- 1629315932
- Provider Type
- Organization
- NPI Issued
- Jan 7, 2013 (13.610206107462 yrs)
- Last Updated
- Oct 13, 2021
- Licenses
-
D1002 (SD)M636 (SD)
Practice Information
- Address
-
2620 JACKSON BLVDSUITE BRAPID CITY, SD, 577021502Browse SD providers · Browse ZIP 57702
- Phone
- 6053481712
- Fax
- 6057167529
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Organizations in RAPID CITY, SD
| Name | NPI |
|---|---|
| PAUL M. REZICH, DDS, PC | 1336209808 |
| BART A. SAMUELSON DDS, PC | 1851593164 |
| JAMES S. NELSON D.D.S. | 1356546394 |
| KELLY LYTLE, DDS, PC | 1235305046 |
| GREG A HANSON DDS PROF LLC | 1578725842 |
| FAMILY DENTISTS PROF LLC | 1851697148 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.