OrganizationActive
Charles F Scanlon II DDS Msd PC
NPI 1669079257 · Periodontics · Rapid City, SD
Provider details
- NPI number
- 1669079257
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kelsey Lowe, Receptionist(605) 721-1111
Specialties & taxonomies
Dental Providers
Practice location
1761 Tablerock Rd
Rapid City, SD 57701-5595
Phone: (605) 721-1111
Fax: (605) 721-1141
Approximate (ZIP-level) locationGet directions
Mailing address
1761 Tablerock Rd
Rapid City, SD 57701-5595
Other names (DBA / former)
- Doing business as
- West River Periodontics and Implant Dentistry
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.