NPI 1063520542

Bart Aaron Samuelson, DDS

Practitioner General Practice Dentistry Rapid City, SD

Practice location

Address: 200 Federal Ave, Rapid City, SD 57702-2326
Phone: (605) 348-4657
Fax: (605) 348-4382

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D0607 (SD)

Other Dentist providers in South Dakota →

Registry record

NPI: 1063520542
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2006
Record last updated: 8 Jul 2007

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.