GLACIER DENTAL CLINIC (NPI# 1497992424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497992424 |
| Entity Type | Organization |
| Organization Name | GLACIER DENTAL CLINIC |
| Practice Address |
140 S Central Ave Cut Bank MT 59427-3298 |
| Mailing Address |
519 E Main St Cut Bank MT 59427-3015 |
| Practice Telephone | 4068735222 |
| Mailing Telephone | 4068735670 |
| Mailing Fax Number | 4068732256 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | SYLVIA BERKRAM (CFO) |
| Authorized Official Telephone | 4068735670 |
| Is Organization Subpart | Y |
| Parent Organization Name | GLACIER COMMUNITY HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1843 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PART B | 000084542 | 01 | |
| MT | 730418 | 05 |
| Street Address |
140 S CENTRAL AVE |
| City | CUT BANK |
| State | MT |
| Zip Code | 59427-3298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518084284 | Kathleen Egan Egan Broere | Counselor | 60 Loring Rd., Cut Bank, MT 59427 | 2007-03-26 |
| 1043385248 | Marianne M. Wilson | Registered Nurse | 802 2nd Street Se, Cut Bank, MT 59427 | 2006-11-22 |
| 1356341051 | Glacier Care Center, Inc. | Assisted Living Facility | 707 3rd St Se, Cut Bank, MT 59427 | 2005-07-26 |
| 1386826154 | Henry Fritz Thies | Pharmacist | 601 West Main Street, Cut Bank, MT 59427 | 2007-12-03 |
| 1598393555 | Ideal Balance Pllc | Community/Behavioral Health | 615 W Main St, Cut Bank, MT 59427-2802 | 2020-03-27 |
| 1801342118 | Aaron Van Wagoner | Physical Therapist | 615 W Main St, Cut Bank, MT 59427-2802 | 2016-08-27 |
| 1407843337 | Ronald R Campbell | Pharmacist | 601 W Main St, Cut Bank, MT 59427-2804 | 2005-10-05 |
| 1881605392 | Drugmart Inc | Pharmacy | 601 W Main St, Northern Village Mall, Cut Bank, MT 59427-2804 | 2006-08-10 |
| 1487253027 | Shreya Patel | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-10-24 |
| 1265046478 | Quinn Allen Spinler | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-09-04 |
| Find all providers in zip 59427 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050439 | Diggs Dental Care | Clinic/Center | 1547 S Higgins Ave Ste 103, Missoula, MT 59801-4226 | 2020-07-14 |
| 1750905063 | Glacier Valley Endodontics | Clinic/Center | 80 Four Mile Dr Ste 15, Kalispell, MT 59901-2665 | 2020-06-02 |
| 1558909093 | Mountain Shore Pllc | Clinic/Center | 50113 Us Highway 93, Polson, MT 59860-7035 | 2019-12-16 |
| 1922662840 | Smile Care Pllc | Clinic/Center | 14555 Hellgate Ln, Clinton, MT 59825-9715 | 2019-04-25 |
| 1427551464 | Dr Mark A Vanzant Pllc | Clinic/Center | 203 Business Center Loop Ste C, Kalispell, MT 59901-6885 | 2018-03-15 |
| 1831601483 | Murdock Family Dentistry | Clinic/Center | 926 Main St Ste 1, Billings, MT 59105-3359 | 2017-11-03 |
| 1861933632 | Wojj Pediatric Dentistry | Clinic/Center | 115 W Kagy Blvd Ste C, Bozeman, MT 59715-6030 | 2017-03-14 |
| 1265895999 | Budde Family Dentistry | Clinic/Center | 120 1st Street North, Glasgow, MT 59230 | 2016-03-31 |
| 1013378462 | Scobey Dental Inc. | Clinic/Center | 504 Timmons Street, Scobey, MT 59263 | 2016-03-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLACIER DENTAL CLINIC.
| 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.