Organization
RAPID CITY ORAL SURGERY PROF LLC
Active
Parent organization
BLACK HILLS ORAL AND MAXILLOFACIAL SURGERY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACK HILLS ORAL AND MAXILLOFACIAL SURGERY, P.C.
Authorized official
ISAAC MORGAN DMD (PARTNER/TREASURER)
(605) 430-5625
Entity
Organization
Contact information
Practice address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 348-3400
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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