Provider Demographics
NPI:1386338770
Name:BH DENTURES LLC
Entity type:Organization
Organization Name:BH DENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SCHMALZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-261-1518
Mailing Address - Street 1:3090 BLACK OAK PL
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5803
Mailing Address - Country:US
Mailing Address - Phone:651-261-1518
Mailing Address - Fax:605-593-0710
Practice Address - Street 1:719 OMAHA ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2761
Practice Address - Country:US
Practice Address - Phone:605-593-0999
Practice Address - Fax:605-593-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty