Organization
SD SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
SD SPECIALTY DENTAL SERVICES, LLC
Other names
Meyer & Dana Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SD SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
1165 EGLIN ST STE 200, RAPID CITY, SD 57701-9634
(605) 717-2722
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
05/20/2025
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