Taylor Dental

LBN: Jackson Boulevard Dental Associates
Taylor Dental is an health care organization with primary practice located at 2620 Jackson Blvd Suite B, Rapid City SD 57702-1502. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jackson Boulevard Dental Associates can be contacted via phone (605) 348-1712, or through Taylor, Jared L via phone (605) 348-1712.

Contact Information

Primary practice address
2620 Jackson Blvd Suite B Rapid City SD 57702-1502
Phone: (605) 348-1712
Fax: (605) 716-7529
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jared L Doctor of Dental Medicine (DMD)
Phone: (605) 348-1712

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X M636 South Dakota
Dental Providers / Dentist 122300000X D1002 South Dakota

Profile Details

NPI number 1629315932
LBN Legal business name Jackson Boulevard Dental Associates
DBA Doing business as Taylor Dental
Authorized official Taylor, Jared L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2013
Last updated Oct 13th, 2021 - 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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