Mason Alexander Hericks
Mason Alexander Hericks is a General Practice Dentistry in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2024.
- Licensed in
- SD
- In the registry since
- 2024
Practice location Address checks out
2606 Elderberry Blvd Ste 1Rapid City, SD 57703-5981
Phone: (605) 737-3150
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D1453 (SD) |
|---|
Record details
| NPI number | 1023852175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 25, 2024 |
| Mailing address | 2606 Elderberry Blvd Ste 1, Rapid City, SD 57703-5981 |
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