Black Hills Oral & Maxillofacial Surgery Pc

LBN: Black Hills Oral & Maxillofacial Surgery Pc
Black Hills Oral & Maxillofacial Surgery Pc is an health care organization with primary practice located at 3415 5Th St , Rapid City SD 57701-7365. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Black Hills Oral & Maxillofacial Surgery Pc can be contacted via phone (605) 348-6818, or through Wilson, Roger Cave via phone (605) 348-6818.

Contact Information

Primary practice address
3415 5Th St Rapid City SD 57701-7365
Phone: (605) 348-6818
Fax: (605) 348-4690
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Roger Cave DDS, MS
Phone: (605) 348-6818

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X M367 South Dakota

Profile Details

NPI number 1063486926
LBN Legal business name Black Hills Oral & Maxillofacial Surgery Pc
DBA Doing business as
Authorized official Wilson, Roger Cave DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063486926 NPPES
South Dakota MEDICAID 8000140
South Dakota MEDICAID 8000050

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