Sd Specialty Dental Services, LLC
NPI 1679393532ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Rapid City, SD
Dentist, Orthodontics and Dentofacial Orthopedics in Rapid City, South Dakota, registered in NPPES in October 2024, part of Sd Specialty Dental Services, LLC. The authorized official on file is Charlotte Dasch, Direc Of Cred And Prov Rel.
Overview
| NPI | 1679393532 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sd Specialty Dental Services, LLC |
| NPI issued | Oct 15, 2024 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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