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Contact Information

RYAN BAXTER, DMD
607 INDIAN HEALTH RD
PINE RIDGE, SD57770-3169
 Phone: 605-867-5131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RYAN BAXTER · (Male)

NPI Number 1962853564
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/24/2016
Last updated 06/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # 00204006
  • NM License # DD5145
  • SD License # D1410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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