DR. CHARLES SCANLON II, D.D.S., MSD

Dentist - Periodontics

Active Individual
NPI: 1568611374

Practice Address

5955 SOUTH HIGHWAY 16
SUITE A
Rapid City, SD 57701

Phone: (605) 721-1111

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 4492 (SC)
Dentist - Periodontics 1223P0300X Yes D0968 (SD)

Frequently Asked Questions

NPI 1568611374 is the National Provider Identifier for DR. CHARLES SCANLON II, D.D.S., MSD, a Dentist - Periodontics provider located in Rapid City, SD. This NPI was enumerated on September 17, 2008.
DR. CHARLES SCANLON II, D.D.S., MSD practices at 5955 SOUTH HIGHWAY 16, SUITE A, Rapid City, SD 57701.

Quick Facts

NPI
1568611374
Type
Individual
Enumerated
Sep 17, 2008
Last Updated
Apr 17, 2013

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