| John F Pittaway Dmd Llc | |
|
124 1st Ave W Kalispell MT 59901-4442 | |
| (406) 755-7117 | |
| Not Available |
| Full Name | John F Pittaway Dmd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 1st Ave W, Kalispell, Montana |
| Authorized Official Name and Position | John Fritts Pittaway (DENTIST) |
| Authorized Official Contact | 8083736200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John F Pittaway Dmd Llc 124 1st Ave W Kalispell MT 59901-4442 Ph: (406) 755-7117 | John F Pittaway Dmd Llc 124 1st Ave W Kalispell MT 59901-4442 Ph: (406) 755-7117 |
| NPI Number | 1275257248 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Medicare PECOS PAC ID | 7315311149 |
|---|---|
| Medicare Enrollment ID | O20230317002604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275257248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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