West Yellowstone Dental | |
317 North Canyon St West Yellowstone MT 59758-9503 | |
(406) 646-7766 | |
(406) 646-1066 |
Full Name | West Yellowstone Dental |
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Speciality | Dentist - General Practice |
Location | 317 North Canyon St, West Yellowstone, Montana |
Authorized Official Name and Position | Roger R Davies (CEO) |
Authorized Official Contact | 7013019841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Yellowstone Dental Po Box 1966 317 North Canyon St. West Yellowstone MT 59758-1966 Ph: (406) 646-7766 | West Yellowstone Dental 317 North Canyon St West Yellowstone MT 59758-9503 Ph: (406) 646-7766 |
NPI Number | 1417393752 |
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Provider Enumeration Date | 05/14/2013 |
Last Update Date | 05/14/2013 |
Identifier | Type | State | Issuer |
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1417393752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |