| Dr Ryan Baxter, DMD | |
|
607 Indian Health Rd, Pine Ridge, SD 57770-3169 | |
| (605) 867-5131 | |
| Not Available |
| Full Name | Dr Ryan Baxter |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 607 Indian Health Rd, Pine Ridge, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962853564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00204006 (Colorado) | Secondary |
| 122300000X | Dentist | DD5145 (New Mexico) | Secondary |
| 122300000X | Dentist | D1410 (South Dakota) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Baxter, DMD 2004 Noah Street, Rapid City, SD 57703 Ph: (605) 381-7284 | Dr Ryan Baxter, DMD 607 Indian Health Rd, Pine Ridge, SD 57770-3169 Ph: (605) 867-5131 |
Dr. Jose Carlos Rodriguez, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3078 Fax: 605-867-3229 |
Dr. Gary C. Stormo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-3078 Fax: 605-867-3229 |