| Pine Peaks Dental | |
|
6005 S. Highway 16 Rapid City SD 57701 | |
| (605) 716-5444 | |
| (605) 341-0144 |
| Full Name | Pine Peaks Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6005 S. Highway 16, Rapid City, South Dakota |
| Authorized Official Name and Position | Jon K Schaack (PRESIDENT) |
| Authorized Official Contact | 6057165444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Peaks Dental 6005 S. Highway 16 Rapid City SD 57701 Ph: (605) 716-5444 | Pine Peaks Dental 6005 S. Highway 16 Rapid City SD 57701 Ph: (605) 716-5444 |
| NPI Number | 1720129398 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720129398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M943,M947 (South Dakota) | Secondary |
| 1223G0001X | Dentist - General Practice | (South Dakota) | Primary |
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› Verified 6 days ago
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