James L. Bockwoldt, Dds, Pc

LBN: James L. Bockwoldt, Dds, Pc
James L. Bockwoldt, Dds, Pc 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 / General Practice, which is considered as the primary health care specialty. James L. Bockwoldt, Dds, Pc can be contacted via phone (605) 348-1712, or through Bockwoldt, James 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: Bockwoldt, James L Doctor of Dental Surgery (DDS)
Phone: (605) 348-1712

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M636 South Dakota

Profile Details

NPI number 1194859256
LBN Legal business name James L. Bockwoldt, Dds, Pc
DBA Doing business as
Authorized official Bockwoldt, James L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Jan 2nd, 2013 - about 12 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 1194859256 NPPES
South Dakota MEDICAID 7809990
South Dakota Other 785779

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