BEAR LAKE DENTAL CARE, PLLC (NPI# 1811001498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811001498 |
| Entity Type | Organization |
| Organization Name | BEAR LAKE DENTAL CARE, PLLC |
| Practice Address |
215 S 4th St Montpelier ID 83254-1591 |
| Mailing Address |
215 S 4th St Po Box 326 Montpelier ID 83254-1591 |
| Practice Telephone | 2088470153 |
| Practice Fax Number | 2088472938 |
| Mailing Telephone | 2088470153 |
| Mailing Fax Number | 2088472938 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA K TIMOTHY (BUSINESS MANAGER) |
| Authorized Official Telephone | 2088470153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
215 S 4TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548225733 | Monty Brett Weston | Dentist | 215 S 4th St, Montpelier, ID 83254-1591 | 2006-04-19 |
| 1811953276 | Robert John Timothy | Dentist | 215 S 4th St, Montpelier, ID 83254-1591 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| Find all providers in zip 83254 | ||||
| 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 |
|---|---|---|---|---|
| 1982147989 | Marc Harmon | Dentist | 32 Main St # 171, Montpelier, VT 05602-2927 | 2016-11-22 |
| 1144498411 | Sam E English II Dds LLC | Dentist | 16625 Mountain Rd, Montpelier, VA 23192-2660 | 2008-02-20 |
| 1609902675 | James Seymore Rowe | Dentist | 16698 Mountain Rd, Montpelier, VA 23192-2600 | 2007-02-26 |
| 1417002619 | Daniel M Sheperd | Dentist | 904 E Snyder Ave, Montpelier, OH 43543-1276 | 2007-01-25 |
| 1912063058 | Sally Ann Bishko | Dentist | 535 Stone Cutters Way, Montpelier, VT 05602-3795 | 2006-12-30 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1487678876 | Main Street Family Dentistry, PC | Dentist | 152 Main Street, Montpelier, VT 05602 | 2006-07-27 |
| 1548225733 | Monty Brett Weston | Dentist | 215 S 4th St, Montpelier, ID 83254-1591 | 2006-04-19 |
| 1972055762 | Hui Zhou | Dentist | 16625 Mountain Rd, Montpelier, VA 23192-2660 | 2016-10-27 |
| 1194278499 | Hubbard Park Family Dentistry, Pllc | Dentist | 174 Elm St, Montpelier, VT 05602-2262 | 2016-08-03 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
Please comment or provide details below to improve the information on BEAR LAKE DENTAL CARE, PLLC.
| 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.