Organization
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Active
Parent organization
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Other names
Meyer & Dana Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK HILLS ORTHODONTICS, PROF. L.L.C.
Authorized official
JESSE MICHAEL DANA D.D.S. (VICE PRESIDENT/ORTHODONTIST)
(605) 717-2722
Entity
Organization
Contact information
Practice address
1165 EGLIN ST STE 200, RAPID CITY, SD 57701-9634
(605) 646-7930
Mailing address
1165 EGLIN ST STE 200, RAPID CITY, SD 57701-9634
(605) 646-7930
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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