| Reausaw-wilson, Dmd, P.c. | |
|
4215 Berniece St Rapid City SD 57703-6410 | |
| (605) 343-6691 | |
| (605) 343-6731 |
| Full Name | Reausaw-wilson, Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4215 Berniece St, Rapid City, South Dakota |
| Authorized Official Name and Position | Sara K Reausaw-wilson (PRESIDENT) |
| Authorized Official Contact | 6057867789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reausaw-wilson, Dmd, P.c. 4215 Berniece St Rapid City SD 57703-6410 Ph: (605) 343-6691 | Reausaw-wilson, Dmd, P.c. 4215 Berniece St Rapid City SD 57703-6410 Ph: (605) 343-6691 |
| NPI Number | 1386092674 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386092674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D0819 (South Dakota) | Primary |
Dakota Regional Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
Nelson & Bury Dentistry P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-341-3670 | |
Evans Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Dakota Drive, Rapid City, SD 57702 Phone: 605-342-7777 Fax: 605-342-2275 | |
Carl R. Stonecipher Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd, Suite 9, Rapid City, SD 57702 Phone: 605-348-0831 Fax: 605-348-0602 | |
Lyde J. Adams, D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Main St, Ste # 206, Rapid City, SD 57702 Phone: 605-348-4868 Fax: 605-737-7870 | |
Dakota Dental 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5509 Bendt Dr Ste 302, Rapid City, SD 57702 Phone: 605-342-5995 | |
Brian G. Criss Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Sheridan Lake Rd, Rapid City, SD 57702 Phone: 605-342-6652 Fax: 605-342-6656 |