DR. COLLEEN MARIE FERRITER (NPI# 1326329046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326329046 |
Entity Type | Individual |
Full Name | DR. COLLEEN MARIE FERRITER |
Other Name | DR. COLLEEN MARIE JOHNSRUD |
Credential | D.M.D. |
Practice Address |
634 Eddy Ave Missoula MT 59812 |
Mailing Address |
107 Agnes Ave Missoula MT 59801-8732 |
Practice Telephone | 4062435445 |
Mailing Telephone | 5099998257 |
Enumeration Date | 2011-09-08 |
Last Update Date | 2018-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2423 | MT | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
401 Railroad St W, Missoula, MT 598024109 | 4062584185 |
Street Address |
634 EDDY AVE |
City | MISSOULA |
State | MT |
Zip Code | 59812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295726826 | Christine A Merriman | Speech-Language Pathologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2005-11-02 |
1447899133 | Joy Anne Graham | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2019-12-30 |
1437609013 | Ronny Steven Moates | Speech-Language Pathologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2016-10-07 |
1982059531 | Debra Lassila | Registered Nurse | 634 Eddy Ave, Missoula, MT 59812-1851 | 2016-05-02 |
1033516562 | Drew Colling | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-11-26 |
1447650668 | Mark Dadmun | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-08-25 |
1164821229 | Angie Reather Cronin | Psychologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-08-14 |
1689080368 | Emily Hansen | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-07-02 |
1659791390 | Misty Vannice | Registered Nurse | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-04-21 |
1780009332 | Jessie Mccafferty | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-02-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679094171 | Conor Morrissey Marlatt | Specialist/Technologist | 32 Campus Dr., Missoula, MT 59812 | 2017-07-05 |
1932458015 | Nils Jackson | Physical Therapist | 32 Campus Drive, Missoula, MT 59812 | 2012-09-05 |
1659520138 | Robert B Curry | Student in an Organized Health Care Education/Training Program | 634 Eddy St, Missoula, MT 59812 | 2008-09-09 |
1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
1841841061 | Lonnie Murphy | Pharmacist | 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 | 2019-09-28 |
1932686839 | Tessa Gorchesky | Specialist/Technologist | 32 Campus Drive, Missoula, MT 59812 | 2018-07-24 |
1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
1386262483 | Karly Niemann | Specialist/Technologist | Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 | 2020-07-06 |
1912466202 | Jenner Minto | Pharmacist | University of Montana 317 Skaggs Building, Missoula, MT 59812-0001 | 2019-03-15 |
1164986691 | Orianne Allison | Dental Hygienist | Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 | 2019-01-29 |
Find all providers in zip 59812 |
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 |
---|---|---|---|---|
1013375021 | Kevin A. Miltko Dds | Dentist | 1550 South Ave W, Missoula, MT 59801-7806 | 2016-02-04 |
1659627594 | Ronald F Rosser | Dentist | 690 Sw Higgins Ave Ste H, Missoula, MT 59803-1433 | 2012-07-30 |
1942483524 | Missoula Pediatric Dentistry PC | Dentist | 1300 South Reserve St, Suite B, Missoula, MT 59801 | 2007-12-06 |
1518097476 | David Roy Shelby | Dentist | 628 South Ave W, Missoula, MT 59801 | 2007-03-07 |
1174653372 | Full Care Dental Pllc | Dentist | 690 Sw Higgins Ave Ste E, Missoula, MT 59803-1433 | 2007-03-06 |
1881739688 | Stephen C Noyd | Dentist | 1901 S Higgins Ave, Missoula, MT 59801-6764 | 2007-02-20 |
1396887444 | John Spierling Dmd | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1464 | 2007-02-13 |
1730233412 | George Martin Olsen | Dentist | 237 Sw Higgins Ave, Ste C, Missoula, MT 59803-1403 | 2007-01-22 |
1437202777 | Robert Michael Delaney | Dentist | 1121 S Higgins Ave, Missoula, MT 59801-4142 | 2007-01-19 |
1275681439 | John Barr Snively | Dentist | 1227 S Higgins Ave, Missoula, MT 59801-4140 | 2007-01-06 |
Find all providers in MISSOULA |
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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.