|
| |
|
993 S 24th St W Ste A Billings MT 59102-7433 | |
| (406) 652-7000 | |
| (406) 652-7002 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 993 S 24th St W Ste A, Billings, Montana |
| Authorized Official Name and Position | Scott Ryan Freeman (DENTIST/OWNER) |
| Authorized Official Contact | 4066527000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
993 S 24th St W Ste A Billings MT 59102-7433 Ph: (406) 652-7000 | 993 S 24th St W Ste A Billings MT 59102-7433 Ph: (406) 652-7000 |
| NPI Number | 1528400900 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528400900 | NPI | - | NPPES |
| 1164454138 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4245 (Montana) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 4245 (Montana) | Primary |
Dentistryone Of Montana Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 24th St W Ste 1-1009, Billings, MT 59102 Phone: 877-712-7875 | |
Wicks Dental Clinic Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Wicks Ln, Billings, MT 59105 Phone: 406-248-7868 Fax: 406-248-1768 | |
Wy Specialty Dental Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 S 32nd St W, Billings, MT 59102 Phone: 406-245-4414 |