Organization Name: | RUSHMORE DENTAL PRODUCTS, INC. |
NPI Number: | 1508801291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY LEE COYNE (PRESIDENT & CEO) |
Mailing Address: | 712 Jackson Blvd Suite #2 Rapid City |
State: | SD US |
Postal Code: | 577022554 |
Phone Number: | 6053414669 |
Fax Number: | 6053413413 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |