DR. EMERSON G GODBOLT (NPI# 1902211725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902211725 |
| Entity Type | Individual |
| Full Name | DR. EMERSON G GODBOLT |
| Credential | D.M.D. |
| Practice Address |
1601 2nd Ave N Ste 100 Great Falls MT 59401 |
| Mailing Address |
11 Valley View Dr Helena MT 59601-5536 |
| Practice Telephone | 4064528740 |
| Practice Fax Number | 4064524064 |
| Mailing Telephone | 4064914863 |
| Mailing Fax Number | 4064524064 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN-DEN-LIC-7811 | MT | Dental Providers |
| N | 122300000X | Dentist | 7811 | MT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Road Runner St, Helena, MT 596020543 | 4064421377 | |
| 5901 N Lidgerwood St Ste 233, Spokane, WA 992081122 | 5094894763 | 5094894767 |
| Street Address |
1601 2ND AVE N STE 100 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275895039 | Great Falls Dental Associates LLC | Dentist | 1601 2nd Ave N Ste 100, Great Falls, MT 59401-3285 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440146 | Russell Ray Jensen | Dentist | 1804 38th St South, Great Falls, MT 59405 | 2013-07-31 |
| 1871838581 | Joseph Alwan | Dentist | 30128 Merchant Ct, Great Falls, VA 22066-4219 | 2012-12-06 |
| 1114272226 | Kevin Lynn Guymon | Dentist | 1301 12th Ave S Ste 100, Great Falls, MT 59405-4600 | 2012-07-16 |
| 1992064349 | Trent C Clifton | Dentist | 2714 15 Avenue South, Great Falls, MT 59405 | 2012-05-04 |
| 1104062843 | Eugene A. Tynes D.d.s. P.C. | Dentist | 300 Park Dr S Ste 202, Great Falls, MT 59405-1819 | 2008-12-31 |
| 1255514568 | John K Stewart | Dentist | 2609 16th Ave S, Great Falls, MT 59405-5202 | 2007-12-10 |
| 1659561249 | Whitney Thompson Delaney | Dentist | 848 Constellation Dr, Great Falls, VA 22066-2503 | 2007-07-30 |
| 1477687168 | Kenneth Charles Small | Dentist | 2527 6th Ave So, Great Falls, MT 59405 | 2007-03-15 |
| 1144355827 | Frederick Lawrence Sherer | Dentist | 1125 2nd Avenue North, Suite #5, Great Falls, MT 59401 | 2007-02-22 |
| 1518020544 | Donald P Jelinek | Dentist | 52 Fisher Rd, Great Falls, MT 59405-8114 | 2006-12-19 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
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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.