BREWER DENTAL CENTER PLLC (NPI# 1548410327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548410327 |
| Entity Type | Organization |
| Organization Name | BREWER DENTAL CENTER PLLC |
| Other Organization Name | BREWER DENTAL CENTER |
| Practice Address |
2900 Central Ave, Bldg1 Billings MT 59102-6686 |
| Practice Telephone | 4066566100 |
| Practice Fax Number | 4066568726 |
| Mailing Telephone | 4066566100 |
| Mailing Fax Number | 4066568726 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | ELGIN WADE WILDE (OWNER) |
| Authorized Official Telephone | 4066566100 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1664 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 113607 | 05 |
| Other Name | Type Code |
|---|---|
| Brewer Dental Center | Other Name - Individual/Organization |
| Street Address |
2900 CENTRAL AVE, BLDG1 |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| 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 |
|---|---|---|---|---|
| 1073113726 | Yellowstone Denture Clinic PC | Dentist | 926 Main St Ste 23, Billings, MT 59105-3359 | 2020-10-30 |
| 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 |
| 1700239340 | Tdc-shiloh PC | Dentist | 1002 Shiloh Crossing Blvd, Billings, MT 59102-7359 | 2016-07-19 |
| 1558715136 | Brysen Hansen | Dentist | 2860 Old Hardin Rd Ste A, Billings, MT 59101-6808 | 2016-04-20 |
| 1528400900 | Expediton Dentistry | Dentist | 993 S 24th St W Ste A, Billings, MT 59102-7433 | 2013-07-25 |
| 1508128919 | Ryan Judson Ross | Dentist | 2911 Grand Ave, Billings, MT 59102-6526 | 2012-06-12 |
| 1659667152 | Wcw Dental LLC | Dentist | 3737 Grand Ave Ste 8, Billings, MT 59102-6258 | 2011-06-22 |
| 1962739649 | Billings West General Dentistry | Dentist | 2700 Grand Ave Ste F, Billings, MT 59102-2682 | 2009-11-17 |
| Find all providers in BILLINGS | ||||
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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.