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BLACK HILLS PEDIATRIC DENTISTRY
NPI 1194867499
Dentist - Pediatric Dentistry in Rapid City, SD

Active since February 13, 2007
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702(605) 341-3068(605) 341-5757 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Black Hills Pediatric Dentistry NPPES

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

BLACK HILLS PEDIATRIC DENTISTRY (NPI 1194867499) is a healthcare organization registered as a pediatric dentistry in Rapid City, South Dakota and active in the NPI registry since February 2007. The organization lists Pamm Torok-hoben, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194867499
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLACK HILLS PEDIATRIC DENTISTRY
Location Address700 SHERIDAN LAKE RDRapid City, SD 57702-2407
Mailing Address700 Sheridan Lake RdRapid City, SD 57702-2407 · (605) 341-3068 · Fax (605) 341-5757
Phone(605) 341-3068
Fax(605) 341-5757
Organization SubpartNo
Authorized OfficialPamm Torok-hobenCeo · (605) 341-3068
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1194867499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
700 SHERIDAN LAKE RD, Rapid City, SD 57702
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Other Identifiers 3

Medicaid100249748-00NE
Medicaid118314100WY
Medicaid7805000SD

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 8

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

BRENT J. BRADLEY D.D.S
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. THOMAS A SCHMANSKI DDS
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. CRAIG R. COOKSLEY DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. JEFFREY PAUL GODBER D.D.S.
Dentist (General Practice)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
BLACK HILLS PEDIATRIC DENTISTRY
Community Health Worker
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KARLI M WILLIAMS D.D.S.
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. ANDREW ROBERT WILSON DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068
DR. KELLI J JOBMAN DDS
Dentist (Pediatric Dentistry)
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702
Pennington County (605) 341-3068

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 Pediatric Dentistry's NPI number?

The NPI number for Black Hills Pediatric Dentistry is 1194867499. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Black Hills Pediatric Dentistry located?

Black Hills Pediatric Dentistry is located at 700 Sheridan Lake Rd, Rapid City, SD 57702. The listed phone number is (605) 341-3068.

What is Black Hills Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Black Hills Pediatric Dentistry was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.