Jackson Boulevard Dental Associates
Jackson Boulevard Dental Associates is a Dentist in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2013.
- Licensed in
- SD
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2620 Jackson Blvd Ste BRapid City, SD 57702-1502
Phone: (605) 348-1712
Fax: (605) 716-7529
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence M636 (SD) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D1002 (SD) |
Record details
| NPI number | 1629315932 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jared Taylor — Owner · (605) 348-1712 |
| Other names | Taylor Dental |
| NPI enumerated | January 7, 2013 |
| Last updated in NPPES | October 13, 2021 |
| Certification date | October 13, 2021 |
| Mailing address | 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 |
Other providers in Rapid City
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Carla L Heino, DDS
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-
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Ross Lawrence Johnson, DDS, MSD
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Dr. Tyler Joseph Juhlin, DDS
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Kelly Lytle, DDS, PC
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