Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles F Scanlon II DDS Msd PC

Organization Periodontics · NPI 1669079257

Charles F Scanlon II DDS Msd PC is a Periodontics in Rapid City, South Dakota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1761 Tablerock Rd
Rapid City, SD 57701-5595
Phone: (605) 721-1111
Fax: (605) 721-1141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1669079257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Lowe — Receptionist · (605) 721-1111
Other names West River Periodontics And Implant Dentistry
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing address1761 Tablerock Rd, Rapid City, SD 57701-5595

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