OrganizationActive
Advanced Dermatology Center, PC
NPI 1346389178 · Dermatology Physician · Rapid City, SD
Provider details
- NPI number
- 1346389178
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sheila Boddicker, Office Manager(605) 343-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Practice location
710 Saint Anne Street
Rapid City, SD 57701
Phone: (605) 343-8000
Fax: (605) 343-8262
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3468
Rapid City, SD 57709-3468
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2018-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.