Black Hills Oral & Maxillofacial Surgery Pc
Oral and Maxillofacial Pathology Clinic
3415 5th St, Rapid City
South Dakota, 57701-7365
605-348-6818 605-348-4690
Maps & DirectionsBlack Hills Oral & Maxillofacial Surgery Pc is a Oral and Maxillofacial Pathology Clinic in Rapid City, South Dakota. It is located at 3415 5th St, Rapid City, SD and its contact number is 605-348-6818. The authorized person for Black Hills Oral & Maxillofacial Surgery Pc is Dr. Roger Cave Wilson
who is President of the clinic and their contact number is 605-348-6818. The primary license number for Black Hills Oral & Maxillofacial Surgery Pc is M367 (Oral and Maxillofacial Pathology) in South Dakota.
Black Hills Oral & Maxillofacial Surgery Pc Clinic is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Clinic Profile:
Black Hills Oral & Maxillofacial Surgery Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Black Hills Oral & Maxillofacial Surgery Pc |
| Specialization: | Oral and Maxillofacial Pathology |
| Clinic Address: | 3415 5th St, Rapid City,
South Dakota, 57701-7365 |
| Phone: | 605-348-6818 |
| Fax: | 605-348-4690 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Roger Cave Wilson |
| Position: | President |
| Contact Number: | 605-348-6818 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Black Hills Oral & Maxillofacial Surgery Pc clinic are as mentioned below.
| NPI Number: | 1063486926 |
| NPI Enumeration Date: | 15 Feb, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Black Hills Oral & Maxillofacial Surgery Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Pathology | M367 | South Dakota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8000140 | Medicaid | South Dakota | |
| 8000050 | Medicaid | South Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Black Hills Oral & Maxillofacial Surgery Pc
Po Box 5690,
Rapid City, South Dakota |
| Zip: | 57709-5690 |
| Phone Number: | 605-348-6818 |
| Fax Number: | 605-348-4690 |
Patients can reach Black Hills Oral & Maxillofacial Surgery Pc at
3415 5th St, Rapid City, South Dakota or can
call to book an appointment on 605-348-6818.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.