Organization
BRIAN G. CRISS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G CRISS DDS (OWNER)
(605) 342-6652
Entity
Organization
Contact information
Practice address
720 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 342-6652
(605) 342-6656
Mailing address
720 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 342-6652
(605) 342-6656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M851
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881601441
NPI
SD
01
—
715225
UNITED CONCORDIA
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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