Wilson, Roger Cave

Wilson, Roger Cave 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 Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Wilson, Roger Cave 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: (605) 348-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X M367 South Dakota

Profile Details

NPI number 1437125721
LBN Legal business name Wilson, Roger Cave
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 27th, 2007 - about 18 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 1437125721 NPPES
South Dakota MEDICAID 8000050

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