# BLACK HILLS DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073885224
- **Authorized official:** DR. RICHARD RATTS (OWNER)
- **Authorized official phone:** (307) 746-4772

## Contact information

- **Practice address:** 17 S SENECA AVE, NEWCASTLE, WY 82701-2816
- **Practice address phone:** (307) 746-4772
- **Mailing address:** PO BOX 190, NEWCASTLE, WY 82701-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1264 | WY | — |
| 1223G0001X | General Practice Dentistry | 724 | WY | Yes |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 02/09/2012