Organization
DAKOTA REGIONAL PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WADE NEHRING DDS (DOCTOR / OWNER)
(605) 348-2556
Entity
Organization
Contact information
Practice address
2800 JACKSON BLVD #6, RAPID CITY, SD 57702
(605) 348-2556
(605) 348-1526
Mailing address
2800 JACKSON BLVD #6, RAPID CITY, SD 57702
(605) 348-2556
(605) 348-1526
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D1040
SD
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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