| Hyalite Family Dentistry | |
|
1195 Stoneridge Dr Suite #1 Bozeman MT 59718-7048 | |
| (406) 586-4781 | |
| (406) 586-5227 |
| Full Name | Hyalite Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1195 Stoneridge Dr, Bozeman, Montana |
| Authorized Official Name and Position | Eric David Monson (PRESIDENT) |
| Authorized Official Contact | 4065864781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyalite Family Dentistry 1195 Stoneridge Dr Suite #1 Bozeman MT 59718-7048 Ph: (406) 586-4781 | Hyalite Family Dentistry 1195 Stoneridge Dr Suite #1 Bozeman MT 59718-7048 Ph: (406) 586-4781 |
| NPI Number | 1124237656 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124237656 | NPI | - | NPPES |
| 0005511090 | Medicaid | MT | |
| 0000111176 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1960 (Montana) | Primary |
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