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RUSHMORE DENTAL
NPI 1710433123
Dentist in Rapid City, SD

Active since August 27, 2016
1600 MOUNTAIN VIEW RD STE 104, RAPID CITY, SD 57702(605) 593-0037(605) 593-8351 Get Directions Write a Review

NPPES record last updated: August 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rushmore Dental NPPES

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

RUSHMORE DENTAL (NPI 1710433123) is a healthcare organization registered as a dentist in Rapid City, South Dakota and active in the NPI registry since August 2016. The organization lists Timothy Lynn Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1710433123
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTIMOTHY L KELLY DENTAL PROF. LLC
Location Address1600 MOUNTAIN VIEW RD STE 104Rapid City, SD 57702-4354
Mailing Address1600 Mountain View Rd Ste 104Rapid City, SD 57702-4354 · (605) 593-0037 · Fax (605) 593-8351
Phone(605) 593-0037
Fax(605) 593-8351
Organization SubpartNo
Authorized OfficialTimothy Lynn KellyOwner · (605) 593-0037
Enumeration DateAugust 27, 2016
✔ NPI 1710433123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SD · D0505
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1600 MOUNTAIN VIEW RD STE 104, Rapid City, SD 57702
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Other Names 1

Doing Business AsRushmore Dental

Other Identifiers 1

Medicaid1588653281SD

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

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 Timothy L Kelly Dental Prof. LLC's NPI number?

The NPI number for Timothy L Kelly Dental Prof. LLC is 1710433123. It was assigned to this organization in the NPPES registry on August 27, 2016. The provider is doing business as Rushmore Dental.

Where is Timothy L Kelly Dental Prof. LLC located?

Timothy L Kelly Dental Prof. LLC is located at 1600 Mountain View Rd Ste 104, Rapid City, SD 57702. The listed phone number is (605) 593-0037.

What is Timothy L Kelly Dental Prof. LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Timothy L Kelly Dental Prof. LLC was last updated on August 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.