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NPI 1962983205

OrganizationActive

Dakota Regional Periodontics, LLC

NPI 1962983205 · Periodontics · Rapid City, SD

Provider details

NPI number: 1962983205
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Mark Terry, Partner/Owner

Practice location

2800 Jackson Blvd Ste 6

Rapid City, SD 57702-3477

Phone: (605) 348-2556

Fax: (605) 348-1526

More SD providers

Mailing address

2800 Jackson Blvd Ste 6

Rapid City, SD 57702-3477

Registry dates

Enumerated: 2018-08-24
Last updated: 2018-08-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dakota Regional Periodontics, LLC — NPI 1962983205, Rapid City, SD | NPI Central