Robert Randall Bourne, DDS is a
Dentist based in Fort Harrison, Montana. Robert Randall Bourne is licensed to practice in South Dakota (license number M930) and his current practice location is
1341 Mt Highway 282, Fort Harrison, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 447-7362.
NPI number for Robert Randall Bourne is 1235151630 and his current mailing address is 1341 Mt Highway 282, Po Box 232, Clancy, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235151630.
Healthcare Provider's Profile
Full Name | Robert Randall Bourne |
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Gender | Male |
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Speciality | Dentist |
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Location | 1341 Mt Highway 282, Fort Harrison, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235151630
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Randall Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235151630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | M930 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Randall Bourne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Randall Bourne, DDS 1341 Mt Highway 282, Po Box 232, Clancy, MT 59634-9716 Ph: (406) 495-8858 | Robert Randall Bourne, DDS 1341 Mt Highway 282, Fort Harrison, MT 59636-0232 Ph: (406) 447-7362 |
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