Black Hills Embrace LLC
Organization Active NPI Dentist · Rapid City, SD
NPI 1134725922 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1134725922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- BLACK HILLS EMBRACE LLC
- Practice address
- 4215 Berniece St
Rapid City, SD 57703-6410 - Phone
- (605) 343-6691
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Brian Kelly Prouty, DDS
- Title
- Owner
- Phone
- (056) 878-0456
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
4215 Berniece St
Rapid City, SD 57703-6410
Mailing address
4215 Berniece St
Rapid City, SD 57703-6410
Phone (605) 343-6691
Other providers in Rapid City, SD
- Black Hills Care and Rehabilitation Center LLC
- Black Hills Caregiving, LLC
- Black Hills Center for Healing and Advancement of Psychotherapy PLC
- Black Hills Child Psychiatric Services
- Black Hills Dermatology PC
- Black Hills Healing Arts Inc
- Black Hills Health and Wellness Center of Rapid Ci
- Black Hills Health Care System
- Black Hills Hearing Health
- Black Hills Hearing Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.