Brewer Dental Center | |
2900 Central Ave, Bldg1 Billings MT 59102-6686 | |
(406) 656-6100 | |
(406) 656-8726 |
Full Name | Brewer Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 2900 Central Ave, Bldg1, Billings, Montana |
Authorized Official Name and Position | Elgin Wade Wilde (OWNER) |
Authorized Official Contact | 4066566100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brewer Dental Center 2900 Central Ave, Bldg1 Billings MT 59102-6686 Ph: (406) 656-6100 | Brewer Dental Center 2900 Central Ave, Bldg1 Billings MT 59102-6686 Ph: (406) 656-6100 |
NPI Number | 1548410327 |
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Provider Enumeration Date | 09/29/2008 |
Last Update Date | 12/29/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548410327 | NPI | - | NPPES |
113607 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1664 (Montana) | Primary |
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