| Homegrown Dental Llc | |
|
2507 6th Ave S Great Falls MT 59405-3013 | |
| (406) 760-1077 | |
| (406) 235-1106 |
| Full Name | Homegrown Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2507 6th Ave S, Great Falls, Montana |
| Authorized Official Name and Position | Heather Moore (OWNER/DENTIST) |
| Authorized Official Contact | 4067601077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homegrown Dental Llc 2507 6th Ave S Great Falls MT 59405-3013 Ph: (406) 760-1077 | Homegrown Dental Llc 2507 6th Ave S Great Falls MT 59405-3013 Ph: (406) 760-1077 |
| NPI Number | 1811562051 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811562051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Eugene A. Tynes D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Park Dr S Ste 202, Great Falls, MT 59405 Phone: 406-761-3800 | |
Justin A. Hicks, D.m.d., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 12th Ave S, Lower Level, Great Falls, MT 59405 Phone: 406-216-5273 Fax: 406-216-5274 | |
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