MONTANA DENTAL GROUP LLC (NPI# 1144767203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144767203 |
| Entity Type | Organization |
| Organization Name | MONTANA DENTAL GROUP LLC |
| Practice Address |
203 Main St Polson MT 59860-2119 |
| Mailing Address |
203 Main Street Polson MT 59860 |
| Practice Telephone | 4068830325 |
| Mailing Telephone | 4068830325 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | BRADY SEFCIK (OFFICIAL) |
| Authorized Official Telephone | 8014004560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
00202298 | CO | Dental Providers |
| Street Address |
203 MAIN ST |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300989 | Timothy Chapman Johnson | Dentist | 203 Main St, Polson, MT 59860-2119 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295884393 | Gayle R. Siemers | Dentist | #2 6th Ave East, Polson, MT 59860 | 2007-01-09 |
| 1376609586 | David W Bull | Dentist | 908 Us Highway 93 E, Polson, MT 59860-7013 | 2006-12-29 |
| 1669571618 | William Paul Schalk | Dentist | 14th and Main St, Grandview Clinic, Polson, MT 59860 | 2006-09-22 |
| 1720084064 | James B Willis | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2005-06-22 |
| 1992317838 | Heather Michelle Howell | Dentist | 5 4th Ave E, Polson, MT 59860-2117 | 2020-08-21 |
| 1053787655 | Bird Family Dentistry | Dentist | 203b Ridgewater Dr Ste 1, Polson, MT 59860-9194 | 2015-08-18 |
| 1144623992 | Big Sky Dental Clinic | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2014-10-07 |
| 1023184249 | Michael R Windauer | Dentist | 421 Main St, Polson, MT 59860 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113726 | Yellowstone Denture Clinic PC | Dentist | 926 Main St Ste 23, Billings, MT 59105-3359 | 2020-10-30 |
| 1669099800 | Jaysen Williams | Dentist | 837 N Center Ave, Hardin, MT 59034-1315 | 2020-07-04 |
| 1821613308 | Stephen Blaine Sherwood | Dentist | 710 S 1st St # 1, Hamilton, MT 59840-3014 | 2020-06-10 |
| 1649818808 | Columbia Falls Family Dental Center PC | Dentist | 6360 Us Hwy 93 South, Whitefish, MT 59937 | 2019-12-18 |
| 1366004509 | Elevation Dental Butte Pllc | Dentist | 800 W Platinum St Ste 1, Butte, MT 59701-2237 | 2019-07-08 |
| 1053877068 | Alpenglow Family Dentistry Pllc | Dentist | 4265 Fallon Street Ste 2, Bozeman, MT 59718-6797 | 2019-02-14 |
| 1770005431 | Kimberly J Currie | Dentist | 202 2nd Ave S Ste 203, Great Falls, MT 59405-1831 | 2017-07-13 |
| 1518495845 | Core Dental Care | Dentist | 2700 Grand Ave Ste C, Billings, MT 59102-2682 | 2017-05-31 |
| 1316475106 | Legacy Smiles International | Dentist | 2700 Grand Ave Ste D, Billings, MT 59102-2682 | 2017-05-24 |
| 1679007090 | Billings Grand Pllc | Dentist | 918 Grand Ave, Billings, MT 59102-3302 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.