SCOTT D VAN DAM DDS, MD

Surgery Yellow Pages

Rapid City, South Dakota

Provider NPI: 1407836992

Provider Information:
 SCOTT D VAN DAM DDS, MD


Practice Location:
3415 5TH ST  RAPID CITY, SD 57701 US
Tel: 605-348-6818  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	204E00000X	Physicians Oral & Maxillofacial Surgery	SD	7080

Other Provider Identifiers:

Issuer	Number	State	Type
	8000530	SD	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin