Individual
DR. RYAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
607 INDIAN HEALTH RD, PINE RIDGE, SD 57770-3169
(605) 867-5131
Mailing address
2004 NOAH STREET, RAPID CITY, SD 57703
(605) 381-7284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00204006
CO
122300000X
Dentist
Primary
D1410
SD
122300000X
Dentist
DD5145
NM
Other
Enumeration date
06/24/2016
Last updated
06/04/2024
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