CUSTER DENTAL STUDIO
NPI 1659962595
Clinic/Center - Dental in Custer, SD
Active since February 02, 2021
About Custer Dental Studio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTER DENTAL STUDIO (NPI 1659962595) is a healthcare organization registered as a dental in Custer, South Dakota and active in the NPI registry since February 2021. The organization lists Kari Bolen, President Bolen Dental Pc, as its authorized official.
NPPES Registry Identity
NPI1659962595
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOLEN DENTAL PC
Location Address141 N 5TH STCuster, SD 57730-1528
Mailing Address141 N 5th StCuster, SD 57730-1528 · (605) 261-6488
Phone(605) 321-2086
Organization SubpartNo
Authorized OfficialKari BolenPresident Bolen Dental Pc · (605) 261-6488
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1659962595 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
141 N 5TH ST, Custer, SD 57730
Other Names 1
Doing Business AsCuster Dental Studio
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659962595, enumerated as an "organization" on February 02, 2021.
The provider is located at 141 N 5TH ST CUSTER, SD 57730 and the phone number is (605) 321-2086.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.