IndividualActive
Charles Scanlon, D.D.S., MSD
NPI 1568611374 · Periodontics · Rapid City, SD
Provider details
- NPI number
- 1568611374
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S., MSD
- Sex
- Male
- Sole proprietor
- No
- License
- 4492 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
5955 South Highway 16
Suite a
Rapid City, SD 57701-8911
Phone: (605) 721-1111
Approximate (ZIP-level) locationGet directions
Mailing address
5955 South Highway 16
Rapid City, SD 57701-8911
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2013-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.