Provider Demographics
NPI:1346849411
Name:RACHEL C SOYLAND DDS PC
Entity Type:Organization
Organization Name:RACHEL C SOYLAND DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOYLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:605-978-9000
Mailing Address - Street 1:1721 S CLEVELAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-5502
Mailing Address - Country:US
Mailing Address - Phone:605-978-9000
Mailing Address - Fax:
Practice Address - Street 1:1721 S CLEVELAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-5502
Practice Address - Country:US
Practice Address - Phone:605-978-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801439096OtherNPI TYPE I