| Montana Kids Dental Llc | |
|
1050 Road Runner St Helena MT 59602-0543 | |
| (406) 442-1377 | |
| Not Available |
| Full Name | Montana Kids Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1050 Road Runner St, Helena, Montana |
| Authorized Official Name and Position | Joshua Jenkins (OWNER) |
| Authorized Official Contact | 2083603445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Kids Dental Llc 1411 Falls Ave E Ste 1000c Twin Falls ID 83301-3459 Ph: () - | Montana Kids Dental Llc 1050 Road Runner St Helena MT 59602-0543 Ph: (406) 442-1377 |
| NPI Number | 1114501897 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114501897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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