Eb Whillock Dds, Ltd. | |
804 West Blvd Rapid City SD 57701-3577 | |
(605) 348-2040 | |
(605) 348-6712 |
Full Name | Eb Whillock Dds, Ltd. |
---|---|
Speciality | Dentist - Periodontics |
Location | 804 West Blvd, Rapid City, South Dakota |
Authorized Official Name and Position | Edward Boyd Whillock (PERIODONTIST) |
Authorized Official Contact | 6053482040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eb Whillock Dds, Ltd. 804 West Blvd Rapid City SD 57701-3577 Ph: (605) 348-2040 | Eb Whillock Dds, Ltd. 804 West Blvd Rapid City SD 57701-3577 Ph: (605) 348-2040 |
NPI Number | 1942334727 |
---|---|
Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942334727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | M-347 (South Dakota) | Primary |
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Dakota Regional Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 Jackson Blvd #6, Rapid City, SD 57702 Phone: 605-348-2556 Fax: 605-348-1526 | |
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