Black Hills Embrace Llc

LBN: Black Hills Embrace Llc
Black Hills Embrace Llc is an health care organization with primary practice located at 4215 Berniece St , Rapid City SD 57703-6410. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Black Hills Embrace Llc can be contacted via phone (605) 343-6691, or through Prouty, Brian Kelly via phone (056) 878-0456.

Contact Information

Primary practice address
4215 Berniece St Rapid City SD 57703-6410
Phone: (605) 343-6691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prouty, Brian Kelly Doctor of Dental Surgery (DDS)
Phone: (056) 878-0456

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1134725922
LBN Legal business name Black Hills Embrace Llc
DBA Doing business as
Authorized official Prouty, Brian Kelly Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - about 4 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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