NPI 1053919506

Ponderosa Smiles

Organisation General Practice Dentistry Rapid City, SD

Practice location

Address: 5955 Mount Rushmore Rd STE a, Rapid City, SD 57701-8960
Phone: (605) 791-5005

Authorised official

Name: Rob Lyons
Title: Dentist
Phone: (605) 791-5005

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in South Dakota →

Registry record

NPI: 1053919506
Entity type: Organization
NPI issued: 15 Oct 2020
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.