| Summit Dental | |
|
1805 W Dickerson St Bld 2, Ste 2 Bozeman MT 59715-4108 | |
| (406) 404-1186 | |
| (406) 404-1187 |
| Full Name | Summit Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1805 W Dickerson St, Bozeman, Montana |
| Authorized Official Name and Position | William Samson (OWNER) |
| Authorized Official Contact | 4064041186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental 1805 W Dickerson St Bld 2, Ste 2 Bozeman MT 59715-4108 Ph: (406) 404-1186 | Summit Dental 1805 W Dickerson St Bld 2, Ste 2 Bozeman MT 59715-4108 Ph: (406) 404-1186 |
| NPI Number | 1295126993 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295126993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2349 (Montana) | Primary |
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