1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Dentist
  6. NPI Profile

BLACK HILLS ORAL & MAXILLOFACIAL SURGERY PC
NPI 1063486926
Dentist - Oral and Maxillofacial Pathology in Rapid City, SD

Active since February 15, 2006
3415 5TH ST, RAPID CITY, SD 57701(605) 348-6818(605) 348-4690 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Hills Oral & Maxillofacial Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK HILLS ORAL & MAXILLOFACIAL SURGERY PC (NPI 1063486926) is a healthcare organization registered as an oral and maxillofacial pathology in Rapid City, South Dakota and active in the NPI registry since February 2006. The organization lists Roger Cave Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1063486926
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameBLACK HILLS ORAL & MAXILLOFACIAL SURGERY PC
Location Address3415 5TH STRapid City, SD 57701-7365
Mailing AddressPo Box 5690Rapid City, SD 57709-5690 · (605) 348-6818 · Fax (605) 348-4690
Phone(605) 348-6818
Fax(605) 348-4690
Organization SubpartNo
Authorized OfficialRoger Cave WilsonPresident · (605) 348-6818
Enumeration DateFebruary 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063486926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in SD · M367
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
3415 5TH ST, Rapid City, SD 57701
Open in Google Maps ↗

Other Identifiers 2

Medicaid8000050SD
Medicaid8000140SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISAAC JOHN MORGAN DMD
Dentist (Oral and Maxillofacial Surgery)
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818
DR. CODY CHRISTENSEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818
SCOTT D VAN DAM DDS, MD
Oral & Maxillofacial Surgery
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818
DR. ROGER CAVE WILSON DDS, MS
Dentist (Oral and Maxillofacial Pathology)
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818
DR. JAY ALAN CROSSLAND DDS
Dentist (Oral and Maxillofacial Surgery)
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818
DR. BRIAN R RICHMAN DDS
Student in an Organized Health Care Education/Training Program
3415 5TH ST
RAPID CITY, SD 57701
Meade County (605) 348-6818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Hills Oral & Maxillofacial Surgery PC's NPI number?

The NPI number for Black Hills Oral & Maxillofacial Surgery PC is 1063486926. It was assigned to this organization in the NPPES registry on February 15, 2006.

Where is Black Hills Oral & Maxillofacial Surgery PC located?

Black Hills Oral & Maxillofacial Surgery PC is located at 3415 5th St, Rapid City, SD 57701. The listed phone number is (605) 348-6818.

What is Black Hills Oral & Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Black Hills Oral & Maxillofacial Surgery PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.