IndividualActive
Edward Whillock, DDS
NPI 1750423166 · Periodontics · Rapid City, SD
Provider details
- NPI number
- 1750423166
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-347 (SD)
Specialties & taxonomies
Dental Providers
Practice location
804 West Blvd
Rapid City, SD 57701-3577
Phone: (605) 348-1738
Fax: (605) 348-8712
Approximate (ZIP-level) locationGet directions
Mailing address
804 West Blvd
Rapid City, SD 57701-3577
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.