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

CHARLES F SCANLON II DDS MSD PC
NPI 1669079257
Dentist - Periodontics in Rapid City, SD

Active since October 06, 2020
1761 TABLEROCK RD, RAPID CITY, SD 57701(605) 721-1111(605) 721-1141 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles F Scanlon Ii Dds Msd Pc NPPES

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

CHARLES F SCANLON II DDS MSD PC (NPI 1669079257), doing business as West River Periodontics And Implant Dentistry, is a healthcare organization registered as a periodontics in Rapid City, South Dakota and active in the NPI registry since October 2020. The organization lists Kelsey T Lowe, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1669079257
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCHARLES F SCANLON II DDS MSD PC
Location Address1761 TABLEROCK RDRapid City, SD 57701-5595
Mailing Address1761 Tablerock RdRapid City, SD 57701-5595 · (605) 721-1111 · Fax (605) 721-1141
Phone(605) 721-1111
Fax(605) 721-1141
Organization SubpartNo
Authorized OfficialKelsey T LoweReceptionist · (605) 721-1111
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1669079257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1761 TABLEROCK RD, Rapid City, SD 57701
Open in Google Maps ↗

Other Names 1

Doing Business AsWest River Periodontics And Implant Dentistry

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 2

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

EMILEE GOLDY
Dental Hygienist
1761 TABLEROCK RD
RAPID CITY, SD 57701
Meade County (605) 721-1111
DR. MARK ALLEN TERRY DDS
Dentist (Periodontics)
1761 TABLEROCK RD
RAPID CITY, SD 57701
Meade County (605) 721-1111

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 Charles F Scanlon II Dds Msd PC's NPI number?

The NPI number for Charles F Scanlon II Dds Msd PC is 1669079257. It was assigned to this organization in the NPPES registry on October 6, 2020. The provider is doing business as West River Periodontics and Implant Dentistry.

Where is Charles F Scanlon II Dds Msd PC located?

Charles F Scanlon II Dds Msd PC is located at 1761 Tablerock Rd, Rapid City, SD 57701. The listed phone number is (605) 721-1111.

What is Charles F Scanlon II Dds Msd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Charles F Scanlon II Dds Msd PC was last updated on October 6, 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.