Jewel Basin Dentistry | |
33 Doc Kimball Big Fork MT 59911 | |
(406) 614-2020 | |
Not Available |
Full Name | Jewel Basin Dentistry |
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Speciality | Dentist |
Location | 33 Doc Kimball, Big Fork, Montana |
Authorized Official Name and Position | Timothy Bagnell (PRESIDENT) |
Authorized Official Contact | 4066142020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jewel Basin Dentistry 33 Doc Kimball Way Big Fork MT 59911 Ph: () - | Jewel Basin Dentistry 33 Doc Kimball Big Fork MT 59911 Ph: (406) 614-2020 |
NPI Number | 1821697921 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 08/03/2021 |
Identifier | Type | State | Issuer |
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1821697921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |