| Four Corners Family Dentistry | |
|
380 Ice Center Ln Ste B Bozeman MT 59718-5970 | |
| (406) 586-9871 | |
| (406) 522-0586 |
| Full Name | Four Corners Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 380 Ice Center Ln Ste B, Bozeman, Montana |
| Authorized Official Name and Position | Gregory J Moos (OWNER DENTIST) |
| Authorized Official Contact | 7154955131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Family Dentistry 380 Ice Center Ln Ste B Bozeman MT 59718-5970 Ph: (406) 586-9871 | Four Corners Family Dentistry 380 Ice Center Ln Ste B Bozeman MT 59718-5970 Ph: (406) 586-9871 |
| NPI Number | 1568978856 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568978856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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