Organization
RECKLING DDS, PROF LLC
Active
Other names
East Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYON ROBERT RECKLING DDS (OWNER, DENTIST)
(605) 373-0245
Entity
Organization
Contact information
Practice address
518 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5737
(605) 373-0245
(605) 336-3261
Mailing address
518 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5737
(605) 373-0245
(605) 336-3261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073860128
INDIVIDUAL NPI
SD
01
—
1407235229
INDIVIDUAL NPI
SD
01
—
1437756905
CORPORATION
SD
01
—
1841362266
INDIVIDUAL NPI
SD
Enumeration date
01/24/2024
Last updated
03/06/2024
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