Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
JACKSON BOULEVARD DENTAL ASSOCIATES
Active
Organization
JACKSON BOULEVARD DENTAL ASSOCIATES
Active
Other names
Taylor Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JARED L TAYLOR DMD (OWNER)
(605) 348-1712
Entity
Organization
Contact information
Practice address
2620 JACKSON BLVD, SUITE B, RAPID CITY, SD 57702-1502
(605) 348-1712
(605) 716-7529
Mailing address
2620 JACKSON BLVD, SUITE B, RAPID CITY, SD 57702-1502
(605) 348-1712
(605) 716-7529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1002
SD
122300000X
Dentist
Primary
M636
SD
Other
Enumeration date
01/07/2013
Last updated
10/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up