| James L. Bockwoldt, Dds, Pc | |
|
2620 Jackson Blvd Suite B Rapid City SD 57702-1502 | |
| (605) 348-1712 | |
| (605) 716-7529 |
| Full Name | James L. Bockwoldt, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2620 Jackson Blvd, Rapid City, South Dakota |
| Authorized Official Name and Position | James L Bockwoldt (OWNER) |
| Authorized Official Contact | 6053481712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James L. Bockwoldt, Dds, Pc 2620 Jackson Blvd Suite B Rapid City SD 57702-1502 Ph: (605) 348-1712 | James L. Bockwoldt, Dds, Pc 2620 Jackson Blvd Suite B Rapid City SD 57702-1502 Ph: (605) 348-1712 |
| NPI Number | 1194859256 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194859256 | NPI | - | NPPES |
| 7809990 | Medicaid | SD | |
| 785779 | Other | SD | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M636 (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 Dental & Associates 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 |