IndividualActive
Mark Terry, DDS
NPI 1114225661 · Periodontics · Rapid City, SD
Provider details
- NPI number
- 1114225661
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D1014 (SD)
Specialties & taxonomies
Dental Providers
Practice location
1761 Tablerock Rd
Rapid City, SD 57701-5595
Phone: (605) 721-1111
Approximate (ZIP-level) locationGet directions
Mailing address
1761 Tablerock Rd
Rapid City, SD 57701-5595
Registry dates
- Enumerated
- 2011-03-08
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.