Black Hills Pediatric Dentistry

LBN: Black Hills Pediatric Dentistry
Black Hills Pediatric Dentistry is an health care organization with primary practice located at 700 Sheridan Lake Rd , Rapid City SD 57702-2407. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Black Hills Pediatric Dentistry can be contacted via phone (605) 341-3068, or through Torok-Hoben, Pamm via phone (605) 341-3068.

Contact Information

Primary practice address
700 Sheridan Lake Rd Rapid City SD 57702-2407
Phone: (605) 341-3068
Fax: (605) 341-5757
Website:
Map and Directions
Authorized official contact:
Name: Torok-Hoben, Pamm
Phone: (605) 341-3068

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1194867499
LBN Legal business name Black Hills Pediatric Dentistry
DBA Doing business as
Authorized official Torok-Hoben, Pamm
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 17th, 2022 - about 3 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 1194867499 NPPES
Nebraska MEDICAID 100249748-00
Nebraska MEDICAID 118314100
Nebraska MEDICAID 7805000

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