Individual provider · Type 1 NPI

Charles F. Scanlon Ii, DDS, MSD

Periodontics · Rapid City, SD

NPI number 1568611374 Active

Practice location

5955 South Highway 16, Suite A
Rapid City, SD 57701-8911

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X4492 (SC)
Periodontics Primary 1223P0300XD0968 (SD)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1568611374

Charles F. Scanlon Ii, DDS, MSD's National Provider Identifier is 1568611374, issued on Sep 17, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Rapid City, SD. The record was last updated on Apr 17, 2013.