Rapid City Dental Pllc
NPI #1477325736 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1477325736
- Entity Type
- Organization
- Organization Name
- Rapid City Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 2525 W MAIN ST STE 304
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2487
- Phone
- (605) 342-1432
Authorized Official
- Name
- ADAM JOSIAH VAWTER, DDS
- Title
- DENTIST/OWNER
- Phone
- (509) 951-8825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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