Organization
BLACK HILLS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMM TOROK-HOBEN (CEO)
(605) 341-3068
Entity
Organization
Contact information
Practice address
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 341-3068
(605) 341-5757
Mailing address
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 341-3068
(605) 341-5757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249748-00
—
NE
05
—
118314100
—
WY
05
—
7805000
—
SD
Enumeration date
02/13/2007
Last updated
08/17/2022
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