Individual
SAMUEL W COWGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
685 N LACROSSE ST, RAPID CITY, SD 57701-1492
(605) 721-8919
(605) 394-5217
Mailing address
685 N LACROSSE ST, RAPID CITY, SD 57701-1492
(605) 721-8919
(605) 394-5217
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO960
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO960
STATE BOARD OF DENTISTRY LICENSE NUMBER
SD
Enumeration date
01/18/2011
Last updated
03/07/2023
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