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DR. BART AARON SAMUELSON D.D.S.
NPI 1063520542
Dentist - General Practice in Rapid City, SD

Active since August 26, 2006
200 FEDERAL AVE, RAPID CITY, SD 57702(605) 348-4657(605) 348-4382 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bart Aaron Samuelson D.d.s. NPPES

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

DR. BART AARON SAMUELSON D.D.S. (NPI 1063520542) is an individual general practice provider in Rapid City, South Dakota, licensed in South Dakota (D0607) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063520542
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BART AARON SAMUELSONCredential: D.D.S.
Location Address200 FEDERAL AVERapid City, SD 57702-2326
Mailing Address200 Federal AveRapid City, SD 57702-2326 · (605) 348-4657 · Fax (605) 348-4382
Phone(605) 348-4657
Fax(605) 348-4382
Sole ProprietorYes
Enumeration DateAugust 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063520542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SD · D0607
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.
200 FEDERAL AVE, Rapid City, SD 57702
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Other Providers at the Same Location NPPES 2

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

DR. JERI L. SCRANTON-SKYBERG DDS
Dentist (General Practice)
200 FEDERAL AVE
RAPID CITY, SD 57702
Pennington County (605) 348-4657
BART A. SAMUELSON DDS, PC
Dentist
200 FEDERAL AVE
RAPID CITY, SD 57702
Pennington County (605) 348-4657

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 Bart Samuelson's NPI number?

The NPI number for Bart Samuelson is 1063520542. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Bart Samuelson located?

Bart Samuelson practices at 200 Federal Ave, Rapid City, SD 57702. The listed phone number is (605) 348-4657.

What is Bart Samuelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bart Samuelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.