| Victor Dental Clinic | |
|
2412 Meridian Rd. Victor MT 59875 | |
| (406) 642-3771 | |
| (406) 642-3646 |
| Full Name | Victor Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2412 Meridian Rd., Victor, Montana |
| Authorized Official Name and Position | Jeremy Michael Anderson (PRESIDENT) |
| Authorized Official Contact | 4066423771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Dental Clinic 2412 Meridian Rd. P.o. Box 27 Victor MT 59875 Ph: (406) 642-3771 | Victor Dental Clinic 2412 Meridian Rd. Victor MT 59875 Ph: (406) 642-3771 |
| NPI Number | 1801051180 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801051180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2307 (Montana) | Primary |