Organization
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Active
Parent organization
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Other names
Rapid City Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Authorized official
DR. JESSE MICHAEL DANA (OWNER)
(605) 717-2722
Entity
Organization
Contact information
Practice address
5150 5TH ST, RAPID CITY, SD 57701-6023
(605) 343-4975
Mailing address
5150 5TH ST, RAPID CITY, SD 57701-6023
(605) 343-4975
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
03/02/2021
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