| Smile Missoula Pc | |
|
237 Sw Higgins Ave Ste C Missoula MT 59803-1485 | |
| (406) 721-2830 | |
| Not Available |
| Full Name | Smile Missoula Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 237 Sw Higgins Ave, Missoula, Montana |
| Authorized Official Name and Position | George M. Olsen (PRESIDENT) |
| Authorized Official Contact | 4067212830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Missoula Pc 300 Ben Hogan Dr Missoula MT 59803-2419 Ph: (406) 721-2830 | Smile Missoula Pc 237 Sw Higgins Ave Ste C Missoula MT 59803-1485 Ph: (406) 721-2830 |
| NPI Number | 1225306749 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225306749 | NPI | - | NPPES |
| 5511480 | Other | MT | CHIP |
| 1101-62 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1424 (Montana) | Primary |
| 1223G0001X | Dentist - General Practice | 2474 (Montana) | Secondary |
Jerde Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-728-0397 | |
Kevin A. Miltko Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 South Ave W, Missoula, MT 59801 Phone: 406-721-1550 Fax: 406-721-1552 | |
Nanette B.i. Ault, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Sw Higgins Ave Ste G, Missoula, MT 59803 Phone: 406-549-4867 Fax: 406-721-3692 | |
Montana Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 S Russell St, Missoula, MT 59801 Phone: 406-728-6068 Fax: 406-829-0868 | |
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