Kenneth J Bagby Dds P C | |
1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 | |
(406) 252-1078 | |
(406) 245-8087 |
Full Name | Kenneth J Bagby Dds P C |
---|---|
Speciality | Dentist |
Location | 1540 Lake Elmo Dr Ste 3, Billings, Montana |
Authorized Official Name and Position | Kenneth J Bagby (DENTIST) |
Authorized Official Contact | 4062521078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Bagby Dds P C 1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 Ph: (406) 252-1078 | Kenneth J Bagby Dds P C 1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 Ph: (406) 252-1078 |
NPI Number | 1912514977 |
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Provider Enumeration Date | 09/24/2020 |
Last Update Date | 11/28/2023 |
Medicare PECOS PAC ID | 4082027412 |
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Medicare Enrollment ID | O20210104001619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912514977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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