| Elevation Dental Butte Pllc | |
|
800 W Platinum St Ste 1 Butte MT 59701-2237 | |
| (406) 723-6070 | |
| Not Available |
| Full Name | Elevation Dental Butte Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 800 W Platinum St Ste 1, Butte, Montana |
| Authorized Official Name and Position | Paul Kent Nielsen (PRESIDENT) |
| Authorized Official Contact | 4064593263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Dental Butte Pllc 800 W Platinum St Ste 1 Butte MT 59701-2237 Ph: (406) 723-6070 | Elevation Dental Butte Pllc 800 W Platinum St Ste 1 Butte MT 59701-2237 Ph: (406) 723-6070 |
| NPI Number | 1366004509 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366004509 | NPI | - | NPPES |
| 5511485 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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