NPI 1407836992

Scott D van Dam, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Rapid City, SD

Practice location

Address: 3415 5th St, Rapid City, SD 57701-7365
Phone: (605) 348-6818

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 7080 (SD)

Other Oral & Maxillofacial Surgery providers in South Dakota →

Registry record

NPI: 1407836992
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2006
Record last updated: 28 Nov 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.