OrganizationActive
Cheyenne River Dental Clinic
NPI 1851422596 · Public Health Dentistry · Eagle Butte, SD
Provider details
- NPI number
- 1851422596
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tiffany Larson, Crst Dental Administrative Manager(605) 964-0736
Specialties & taxonomies
Dental Providers
Practice location
24276 166th St
Eagle Butte, SD 57625-8141
Phone: (605) 964-0736
Fax: (605) 964-7800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 590
Eagle Butte, SD 57625-0590
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.