MISS SUMMOR KILGORE (NPI# 1912557653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912557653 |
| Entity Type | Individual |
| Full Name | MISS SUMMOR KILGORE |
| Credential | RDH, OMT |
| Practice Address |
1099 Cowboy Way Columbia Falls MT 59912-9068 |
| Practice Telephone | 4062910634 |
| Mailing Telephone | 4062910634 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DEN-RDH-1207 | MT | Dental Providers |
| Y | 125J00000X | Dental Therapist | DEN-RDH-1207 | MT | Dental Providers |
| Street Address |
1099 COWBOY WAY |
| City | COLUMBIA FALLS |
| State | MT |
| Zip Code | 59912-9068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178455 | Susan Linda Miller | Home Health Aide | 16 Cedar Pointe Lp. #b, Columbia Falls, MT 59912 | 2020-09-09 |
| 1174157200 | Xseed Chiropractic LLC | Chiropractor | 3576 Mt Highway 40 W, Columbia Falls, MT 59912 | 2020-02-27 |
| 1457823585 | Cheryl Lee Bengtson | Massage Therapist | 110 Nucleus Avenue, Suite A, Columbia Falls, MT 59912 | 2018-12-31 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1396123659 | Amy Marie Dear-ruel | Family Medicine | 1675 Talbot Road, Columbia Falls, MT 59912 | 2015-05-07 |
| 1376976787 | Colleen Depuydt Johnson | Social Worker | 305 1st Ave. W, Columbia Falls, MT 59912 | 2013-08-21 |
| 1982979126 | Bonnie Lee Mickelson | Massage Therapist | 805 Nucleus Ave., Columbia Falls, MT 59912 | 2012-03-21 |
| 1134379324 | Kristen Finewood Nix | Physical Therapist | 400 Veterans Way, Columbia Falls, MT 59912 | 2008-09-24 |
| 1164670089 | The Better Breathing Store LLC | Durable Medical Equipment & Medical Supplies | 5035 Hwy 2 West, Columbia Falls, MT 59912 | 2008-09-04 |
| 1184870602 | Basic Health, LLC | Clinic/Center | 305 1st Ave, West, Columbia Falls, MT 59912 | 2008-08-15 |
| Find all providers in zip 59912 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| City | COLUMBIA FALLS |
| Zip Code | 59912 |
Please comment or provide details below to improve the information on MISS SUMMOR KILGORE.
| 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.