Organization
RUSHMORE DENTAL PRODUCTS, INC.
Active
Other names
Presidents Specialty Health Care Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY LEE COYNE RN, MN (PRESIDENT & CEO)
(605) 341-4669
Entity
Organization
Contact information
Practice address
712 JACKSON BLVD, SUITE #2, RAPID CITY, SD 57702-2554
(605) 341-4669
(605) 341-3413
Mailing address
712 JACKSON BLVD, SUITE #2, RAPID CITY, SD 57702-2554
(605) 341-4669
(605) 341-3413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9165300
—
SD
Enumeration date
06/18/2006
Last updated
05/26/2010
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