Cheyenne River Dental Clinic

LBN: Cheyenne River Dental Clinic
Cheyenne River Dental Clinic is an health care organization with primary practice located at 24276 166Th St , Eagle Butte SD 57625-8141. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Cheyenne River Dental Clinic can be contacted via phone (605) 964-0736, or through Larson, Tiffany L via phone (605) 964-0736.

Contact Information

Primary practice address
24276 166Th St Eagle Butte SD 57625-8141
Phone: (605) 964-0736
Fax: (605) 964-7800
Website:
Map and Directions
Authorized official contact:
Name: Larson, Tiffany L
Phone: (605) 964-0736

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1851422596
LBN Legal business name Cheyenne River Dental Clinic
DBA Doing business as
Authorized official Larson, Tiffany L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851422596 NPPES
South Dakota MEDICAID 5540240

Popular Providers