IndividualActive
Scott Van Dam, DDS, MD
NPI 1407836992 · Oral & Maxillofacial Surgery (D.M.D.) · Rapid City, SD
Provider details
- NPI number
- 1407836992
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- No
- License
- 7080 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3415 5th St
Rapid City, SD 57701-7365
Phone: (605) 348-6818
Approximate (ZIP-level) locationGet directions
Mailing address
3415 5th St
Rapid City, SD 57701-7365
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.