Van Dam, Scott D

Van Dam, Scott D is an individual health care provider with primary practice located at 3415 5Th St , Rapid City SD 57701-7365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Van Dam, Scott D can be contacted via phone (605) 348-6818.

Contact Information

Primary practice address
3415 5Th St Rapid City SD 57701-7365
Phone: (605) 348-6818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7080 South Dakota

Profile Details

NPI number 1407836992
LBN Legal business name Van Dam, Scott D
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407836992 NPPES
South Dakota MEDICAID 8000530

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