Individual
JON K SCHAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6005 S. HIGHWAY 16, RAPID CITY, SD 57701
(605) 716-5444
(605) 341-0144
Mailing address
6005 S. HIGHWAY 16, RAPID CITY, SD 57701
(605) 716-5444
(605) 341-0144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M947
SD
Other
Enumeration date
10/04/2006
Last updated
03/10/2016
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