# BLACK HILLS ORAL SURGERY AND DENTAL IMPLANT CENTER, LLP

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

## Provider details

- **NPI number:** 1295643252
- **Authorized official:** KARI L SIMONSON (PRACTICE MANAGER)
- **Authorized official phone:** (605) 348-6818

## Contact information

- **Practice address:** 3415 5TH ST, RAPID CITY, SD 57701-7365
- **Practice address phone:** (605) 348-6818
- **Practice address fax:** (605) 348-4690
- **Mailing address:** 3415 5TH ST, RAPID CITY, SD 57701-7365
- **Mailing address phone:** (605) 348-6818
- **Mailing address fax:** (605) 348-4690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 08/31/2026