NPI 1023852175

Mason Alexander Hericks

Practitioner General Practice Dentistry Rapid City, SD

Practice location

Address: 2606 Elderberry Blvd STE 1, Rapid City, SD 57703-5981
Phone: (605) 737-3150

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D1453 (SD)

Other Dentist providers in South Dakota →

Registry record

NPI: 1023852175
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2024
Record last updated: 25 Jun 2024

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.