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Contact Information

BLACKHILLS DENTAL PC
17 S SENECA AVE
NEWCASTLE, WY82701-2816
 Phone: 307-746-4772
 Fax: 307-746-2472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BLACKHILLS DENTAL PC

NPI Number 1295830354
LBN Legal business name BLACKHILLS DENTAL PC
Authorized official RICHARD RATTS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WY License # 724
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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