| Lamplighter Dental Pllc | |
|
2675 Central Ave Suite 13 Billings MT 59102-6686 | |
| (406) 294-2900 | |
| Not Available |
| Full Name | Lamplighter Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2675 Central Ave, Billings, Montana |
| Authorized Official Name and Position | Elgin Wade Wilde (DENTIST) |
| Authorized Official Contact | 4062942900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamplighter Dental Pllc 2675 Central Ave Suite 13 Billings MT 59102-6686 Ph: (406) 294-2900 | Lamplighter Dental Pllc 2675 Central Ave Suite 13 Billings MT 59102-6686 Ph: (406) 294-2900 |
| NPI Number | 1982839890 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982839890 | NPI | - | NPPES |
| 113607 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2218 (Montana) | Primary |
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