Roundup Family Dentistry | |
239 Main St Roundup MT 59072-2735 | |
(406) 323-1234 | |
Not Available |
Full Name | Roundup Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 239 Main St, Roundup, Montana |
Authorized Official Name and Position | Jack Daigrepont (GENERAL DENTIST) |
Authorized Official Contact | 4063231234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roundup Family Dentistry 239 Main St Roundup MT 59072-2735 Ph: (406) 323-1234 | Roundup Family Dentistry 239 Main St Roundup MT 59072-2735 Ph: (406) 323-1234 |
NPI Number | 1700522398 |
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Provider Enumeration Date | 05/07/2022 |
Last Update Date | 05/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700522398 | NPI | - | NPPES |
146801068 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |