DAKOTA REGIONAL PERIODONTICS, LLC
NPI 1962983205
Dentist - Periodontics in Rapid City, SD

Active since August 24, 2018
2800 JACKSON BLVD STE 6, RAPID CITY, SD 57702(605) 348-2556(605) 348-1526 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dakota Regional Periodontics, Llc NPPES

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

DAKOTA REGIONAL PERIODONTICS, LLC (NPI 1962983205) is a healthcare organization registered as a periodontics in Rapid City, South Dakota and active in the NPI registry since August 2018. The organization lists Mark Allen Terry, Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1962983205
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDAKOTA REGIONAL PERIODONTICS, LLC
Location Address2800 JACKSON BLVD STE 6Rapid City, SD 57702-3477
Mailing Address2800 Jackson Blvd Ste 6Rapid City, SD 57702-3477 · (605) 348-2556
Fax(605) 348-1526
Organization SubpartNo
Authorized OfficialMark Allen TerryPartner/owner · (605) 348-2556
Enumeration DateAugust 24, 2018
NPI 1962983205 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.
2800 JACKSON BLVD STE 6, Rapid City, SD 57702

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

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

Clinic/Center (Dental)
2800 JACKSON BLVD STE 6
RAPID CITY, SD 57702

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 Dakota Regional Periodontics, LLC's NPI number?

The NPI number for Dakota Regional Periodontics, LLC is 1962983205. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Dakota Regional Periodontics, LLC located?

Dakota Regional Periodontics, LLC is located at 2800 Jackson Blvd Ste 6, Rapid City, SD 57702. The listed phone number is (605) 348-2556.

What is Dakota Regional Periodontics, LLC'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 Dakota Regional Periodontics, LLC was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.