| Coonen Dental | |
|
64 Medical Park Dr Ste 1 Helena MT 59601-4903 | |
| (406) 442-3190 | |
| Not Available |
| Full Name | Coonen Dental |
|---|---|
| Speciality | Dentist |
| Location | 64 Medical Park Dr Ste 1, Helena, Montana |
| Authorized Official Name and Position | Martin K Coonen (DENTIST/PRESIDENT) |
| Authorized Official Contact | 4064423190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coonen Dental 64 Medical Park Dr Ste 1 Helena MT 59601-4903 Ph: (406) 442-3190 | Coonen Dental 64 Medical Park Dr Ste 1 Helena MT 59601-4903 Ph: (406) 442-3190 |
| NPI Number | 1316282510 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316282510 | NPI | - | NPPES |
| 0000124618 | Medicaid | MT | |
| 0000258063 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2313 (Montana) | Primary |
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