DR. CHARLES F. SCANLON II (NPI# 1568611374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568611374 |
| Entity Type | Individual |
| Full Name | DR. CHARLES F. SCANLON II |
| Credential | D.D.S., MSD |
| Practice Address |
5955 South Highway 16 Suite A Rapid City SD 57701-8911 |
| Practice Telephone | 6057211111 |
| Mailing Telephone | 6057211111 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
4492 | SC | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D0968 | SD | Dental Providers |
| Street Address |
5955 SOUTH HIGHWAY 16 SUITE A |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079257 | Charles F Scanlon II Dds Msd PC | Dentist | 1761 Tablerock Rd, Rapid City, SD 57701-5595 | 2020-10-06 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1821373325 | Joshua Wade Nehring | Dentist | 2800 Jackson Blvd Suite #6, Rapid City, SD 57702-1504 | 2011-10-15 |
| 1114225661 | Mark Allen Terry | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2011-03-08 |
| 1750423166 | Edward Boyd Whillock | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-02-13 |
| 1962983205 | Dakota Regional Periodontics, LLC | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2018-08-24 |
| 1710107008 | Harold A. Doerr, D.d.s, PC | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-3477 | 2007-04-27 |
| 1942334727 | Eb Whillock Dds, Ltd. | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-03-15 |
| 1063421501 | Harold A Doerr | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-1504 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396252698 | Dunes Peiodontics and Implant Dentistry | Dentist | 150 Tower Rd Ste 110, Dakota Dunes, SD 57049-8000 | 2018-01-08 |
| 1184792236 | Thomas L. Kassube | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2006-11-30 |
| 1396342846 | Mark T Lavin Dds PC | Dentist | 3400 E 26th St, Sioux Falls, SD 57103-4183 | 2020-10-07 |
| 1265949150 | Johnson Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2018-01-02 |
| 1336266436 | Mark Thomas Lavin | Dentist | 6104 S Lyncrest Ave, Sioux Falls, SD 57108-2560 | 2007-03-23 |
| 1275685299 | Kassube & Lankford Midwest Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2007-01-18 |
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on DR. CHARLES F. SCANLON II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.