Livingston Dental Care is a dental clinic (Dentist - General Practice) in Livingston, Montana. The current practice location for Livingston Dental Care is 422 S Main St, Livingston, Montana. For appointments, you can reach them via phone at
(406) 222-6061. The mailing address for Livingston Dental Care is 422 S Main St, Livingston, Montana and phone number is (406) 222-6061.
Livingston Dental Care is licensed to practice in Montana (license number 2104) and its
NPI number is 1639626518. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(406) 222-6061.
Dental Care Clinic Profile
| Full Name | Livingston Dental Care |
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| Speciality | Dentist - General Practice |
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| Location | 422 S Main St, Livingston, Montana |
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| Authorized Official Name and Position | Wayne A Frederickson (OWNER) |
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| Authorized Official Contact | 4062226061 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Livingston Dental Care
422 S Main St
Livingston
MT 59047-3456
Ph: (406) 222-6061 | Livingston Dental Care
422 S Main St
Livingston
MT 59047-3456
Ph: (406) 222-6061 |
NPI Details:
| NPI Number | 1639626518 |
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| Provider Enumeration Date | 09/08/2016 |
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| Last Update Date | 09/08/2016 |
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Medical Identifiers
Medical identifiers for Livingston Dental Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639626518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2104 (Montana) | Primary |
| 1223G0001X | Dentist - General Practice | 2318 (Montana) | Secondary |
| 1223G0001X | Dentist - General Practice | 1299 (Montana) | Secondary |
| 1223G0001X | Dentist - General Practice | 1835 (Montana) | Secondary |
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