Premier Choice Dental Pllc | |
8707 Jackrabbit Ln Belgrade MT 59714-8995 | |
(406) 671-0496 | |
Not Available |
Full Name | Premier Choice Dental Pllc |
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Speciality | Dentist |
Location | 8707 Jackrabbit Ln, Belgrade, Montana |
Authorized Official Name and Position | John W Bennion (MANAGER) |
Authorized Official Contact | 4066710496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Choice Dental Pllc 8707 Jackrabbit Ln Belgrade MT 59714-8995 Ph: (406) 671-0496 | Premier Choice Dental Pllc 8707 Jackrabbit Ln Belgrade MT 59714-8995 Ph: (406) 671-0496 |
NPI Number | 1366099517 |
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Provider Enumeration Date | 08/22/2019 |
Last Update Date | 08/22/2019 |
Medicare PECOS PAC ID | 1658784285 |
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Medicare Enrollment ID | O20201228002293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366099517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | John W Bennion |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1265530133 PECOS PAC ID: 9638073950 Enrollment ID: I20031119000917 |
Belgrade Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Main St Ste 1, Belgrade, MT 59714 Phone: 406-388-8006 | |
Belgrade Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Jefferson Ave, Suite A, Belgrade, MT 59714 Phone: 406-579-5998 |