Kootenai Family Dentistry | |
204 E 6th St Libby MT 59923-2052 | |
(406) 293-4116 | |
(406) 293-6645 |
Full Name | Kootenai Family Dentistry |
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Speciality | Dentist |
Location | 204 E 6th St, Libby, Montana |
Authorized Official Name and Position | Ronald E. Mendenhall (OWNER) |
Authorized Official Contact | 4062934116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kootenai Family Dentistry Po Box 1379 Libby MT 59923-1379 Ph: (406) 293-4116 | Kootenai Family Dentistry 204 E 6th St Libby MT 59923-2052 Ph: (406) 293-4116 |
NPI Number | 1225274756 |
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Provider Enumeration Date | 01/06/2009 |
Last Update Date | 01/06/2009 |
Identifier | Type | State | Issuer |
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1225274756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1984 (Montana) | Primary |
Sterling Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 E 2nd St, Libby, MT 59923 Phone: 406-293-7541 Fax: 406-293-9121 | |
Eric C. Simpson D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E 2nd St, Libby, MT 59923 Phone: 406-293-7768 Fax: 406-293-9121 |