FIRST IMPRESSIONS DENTURE CLINIC LLC (NPI# 1457430118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457430118 |
| Entity Type | Organization |
| Organization Name | FIRST IMPRESSIONS DENTURE CLINIC LLC |
| Other Organization Name | LIMITED LIABILITY COMPANY |
| Practice Address |
215 Smelter Ave Ne Ste #3 Great Falls MT 59404-1937 |
| Mailing Address |
Po Box 165 Black Eagle MT 59414-0165 |
| Practice Telephone | 4062164746 |
| Practice Fax Number | 4062164747 |
| Mailing Telephone | 4062164746 |
| Mailing Fax Number | 4062164747 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | MR. ALLEN L CASTEEL (DENTURIST AND LLC MEMBER) |
| Authorized Official Telephone | 4062164746 |
| Authorized Official Credential | LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0150178 | 05 | |
| MT | BCBS | 0000030314 | 01 |
| MT | CHIP | 5512471 | 01 |
| Other Name | Type Code |
|---|---|
| Limited Liability Company | Other Name - Individual/Organization |
| Street Address |
215 SMELTER AVE NE STE #3 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124681291 | Clarissa Terria Marotti | Behavior Technician | 215 Smelter Ave Ne, Great Falls, MT 59404-1937 | 2019-04-15 |
| 1598254583 | Erin Mailie Loecker | Behavior Technician | 215 Smelter Ave Ne, Great Falls, MT 59404-1937 | 2018-05-04 |
| 1942799168 | Mary-olieta Michelle Logan | Behavior Technician | 215 Smelter Ave Ne, Great Falls, MT 59404-1937 | 2018-05-02 |
| 1629313028 | Erin Elizabeth Faulkner | Behavioral Analyst | 215 Smelter Ave Ne, Great Falls, MT 59404-1937 | 2012-12-11 |
| 1437223518 | Quality Life Concepts Inc. | Behavioral Analyst | 215 Smelter Ave Ne, Great Falls, MT 59404 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235352121 | Allen L Casteel | Denturist | 215 Smelter Ave Ne Ste 3, Great Falls, MT 59404-1937 | 2007-04-10 |
| 1245363308 | Alford Mark Rittenhouse | Denturist | 2509 7th Ave S Ste D1, Great Falls, MT 59405-3031 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366088098 | Wesley James Carnahan | Denturist | 2825 Stockyard Rd Ste E4, Missoula, MT 59808-1510 | 2019-11-18 |
| 1821518937 | Rick Michael Miller | Denturist | 2181 Hwy 2 E #4, Denture Solutions, Kalispell, MT 59901-2858 | 2017-06-21 |
| 1376941096 | Bc Restorations Inc | Denturist | 6 Sunset Plz Ste C, Kalispell, MT 59901-3659 | 2014-12-11 |
| 1487905931 | Carl Justin Brisendine | Denturist | 6 Sunset Plz, Suite C, Kalispell, MT 59901-3608 | 2012-09-24 |
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1154506889 | Douglas Arthur Crumb | Denturist | 6420 Hwy 93 S., Lakeside, MT 59922 | 2007-12-31 |
| 1134323066 | John V Mateskon | Denturist | 2149 Durston Rd, Unit 32, Bozeman, MT 59718-2805 | 2007-06-13 |
| 1134333719 | Frank Brisendine | Denturist | Lakeside Denture Studio, 6420 Hwy 93 South, Lakeside, MT 59922-0728 | 2007-05-10 |
| 1952523961 | Dylan James Sedlacek | Denturist | 1903 Central Ave., Billings, MT 59102 | 2007-05-02 |
| 1427183946 | James Robert Carnahan | Denturist | 1716 N. First Street, Suite C, Hamilton, MT 59840 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on FIRST IMPRESSIONS DENTURE CLINIC LLC.
| 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.