| Brian G. Criss | |
|
720 Sheridan Lake Rd Rapid City SD 57702-2407 | |
| (605) 342-6652 | |
| (605) 342-6656 |
| Full Name | Brian G. Criss |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Sheridan Lake Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Brian G Criss (OWNER) |
| Authorized Official Contact | 6053426652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G. Criss 720 Sheridan Lake Rd Rapid City SD 57702-2407 Ph: (605) 342-6652 | Brian G. Criss 720 Sheridan Lake Rd Rapid City SD 57702-2407 Ph: (605) 342-6652 |
| NPI Number | 1033252705 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033252705 | NPI | - | NPPES |
| 1881601441 | Other | SD | NPI |
| 715225 | Other | SD | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M851 (South Dakota) | Primary |
News Archive
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