Dr. Nicholas Alexander Meckfessel
Dentist Dental Public Health
3200 Canyon Lake Dr
Rapid City
, South Dakota 57702-8114
Dr. Nicholas Alexander Meckfessel
Dentist Dental Public Health
3200 Canyon Lake Dr
Rapid City
, South Dakota 57702-8114
(775) 910-1872
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Nicholas Alexander Meckfessel
- 15013 Justice Rd
- Box Elder, SD
- Zip : 57719-8122
- Phone : (775) 910-1872
Second Address
- Dr. Nicholas Alexander Meckfessel
- 3200 Canyon Lake Dr
- Rapid City, SD
- Zip : 57702-8114
- Phone : (605) 355-2500
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Is Dr. Nicholas Alexander Meckfessel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | D1325 | SD |
| Y | 1223D0001X | Dental Public Health | D1325 | SD |
National Provider Identifier
| NPI | 1265103022 |
|---|---|
| Provider Name | Dr. Nicholas Alexander Meckfessel |
| First Address | Box Elder, SD 57719-8122 |
| Second Address | Rapid City, SD 57702-8114 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2021 |
| Last Update Date | 22/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.