# ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced ENT and Allergy Center of the Black Hills, Prof LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346849478
- **Authorized official:** DR. JAY WARREN WHITE MD (OWNER)
- **Authorized official phone:** (605) 716-6390

## Contact information

- **Practice address:** 4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
- **Practice address phone:** (605) 716-6390
- **Mailing address:** 4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
- **Mailing address phone:** (605) 716-6390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 02/08/2021