Provider Demographics
NPI:1275754608
Name:DAVID A REMPEL, DDS P.C.
Entity Type:Organization
Organization Name:DAVID A REMPEL, DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:REMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-348-2151
Mailing Address - Street 1:717 MEADE ST
Mailing Address - Street 2:STE. 400
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5103
Mailing Address - Country:US
Mailing Address - Phone:605-348-2151
Mailing Address - Fax:605-348-2158
Practice Address - Street 1:717 MEADE ST
Practice Address - Street 2:STE. 400
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5103
Practice Address - Country:US
Practice Address - Phone:605-348-2151
Practice Address - Fax:605-348-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM4611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty