MOODY DENTAL IMPLANT CENTERS LLC


Address: 705 Columbus St, Rapid City, SD 57701-3623
Phone: 6057165622

MOODY DENTAL IMPLANT CENTERS LLC (NPI# 1649556978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649556978
Entity Type Organization
Organization Name MOODY DENTAL IMPLANT CENTERS LLC
Other Organization Name THE DENTAL IMPLANT CENTER
Practice Address 705 Columbus St
Rapid City
SD 57701-3623
Practice Telephone 6057165622
Practice Fax Number 6057912982
Mailing Telephone 6057165622
Mailing Fax Number 6057912982
Enumeration Date 2011-11-01
Last Update Date 2016-09-22
Authorized Official Name JUSTIN D MOODY (OWNER)
Authorized Official Telephone 6057165622
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
M881 SD Dental Providers

Other Provider/Organization Names

Other Name Type Code
The Dental Implant Center Other Name - Individual/Organization

Office Location

Street Address 705 COLUMBUS ST
City RAPID CITY
State SD
Zip Code 57701-3623

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
Find all providers in zip 57701

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134727969 Shaun Lemmon Dentist 333 West Blvd # 300a, Rapid City, SD 57701-2670 2020-10-14
1366049660 Byrne Dental, Professional LLC Dentist 3825 Canyon Lake Dr, Rapid City, SD 57702 2020-10-08
1376197533 Richard Brady Perdue Dentist 2606 Elderberry Blvd, Rapid City, SD 57703 2019-07-26
1508424680 Joshua Petersen Dentist 1687 Tablerock Rd, Rapid City, SD 57701-5495 2019-06-03
1063904290 Brittni Rose Reichert Dentist 6005 Mount Rushmore Rd, Rapid City, SD 57701-8962 2018-06-04
1598279028 Schmalz Dental LLC Dentist 1147 Eglin St, Rapid City, SD 57701-9612 2017-11-20
1134417058 Rob Dean Lyons Dentist 5955 Mount Rushmore Rd Ste A, Rapid City, SD 57701 2011-07-12
1083852826 Tracy Krafthefer Heeter Dentist 685 N Lacrosse St, Rapid City, SD 57701-1492 2009-02-02
1568611374 Charles F. Scanlon II Dentist 5955 South Highway 16, Suite A, Rapid City, SD 57701-8911 2008-09-17
1336300847 Eric Grant Unkenholz Dentist 710 Mount Rushmore Rd, Rapid City, SD 57701-3609 2008-06-18
Find all providers in RAPID CITY

Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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