Scott D Van Dam
Oral & Maxillofacial Surgeon
3415 5th St
Rapid City
, South Dakota 57701-7365
Scott D Van Dam
Oral & Maxillofacial Surgeon
3415 5th St
Rapid City
, South Dakota 57701-7365
(605) 348-6818
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Scott D Van Dam
- 3415 5th St
- Rapid City, SD
- Zip : 57701-7365
- Phone : (605) 348-6818
Second Address
- Scott D Van Dam
- 3415 5th St
- Rapid City, SD
- Zip : 57701-7365
- Phone : (605) 348-6818
Reviews
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Where is Scott D Van Dam ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 7080 | SD |
National Provider Identifier
| NPI | 1407836992 |
|---|---|
| Provider Name | Scott D Van Dam |
| First Address | Rapid City, SD 57701-7365 |
| Second Address | Rapid City, SD 57701-7365 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 28/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8000530 | (05) | SD |
| U93675 | (02) |
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.