Ponderosa Smiles
Ponderosa Smiles is a General Practice Dentistry in Rapid City, South Dakota. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5955 Mount Rushmore Rd Ste ARapid City, SD 57701-8960
Phone: (605) 791-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1053919506 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rob Lyons — Dentist · (605) 791-5005 |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
| Mailing address | 5955 Mount Rushmore Rd Ste A, Rapid City, SD 57701-8960 |
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