Gallatin Valley Pediatric Dentistry in Bozeman - Pediatric Dentistry
Gallatin Valley Pediatric Dentistry - NPI 1750507703
Gallatin Valley Pediatric Dentistry is a Pediatric Dentistry in Bozeman, Montana. Gallatin Valley Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gallatin Valley Pediatric Dentistry is 1750507703. The last update date is 2020-08-22.
Gallatin Valley Pediatric Dentistry's current location address is 115 W Kagy Blvd, Bozeman, Montana. You can contact this provider via phone number 4065872327 and fax number 4065873338. The mailing address for Gallatin Valley Pediatric Dentistry is 115 W Kagy Blvd, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gallatin Valley Pediatric Dentistry |
|---|---|
| Address | 115 W Kagy Blvd, Bozeman, Montana |
| Phone Number | 4065872327 |
| Fax Number | 4065873338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Sayre Joel |
| Telephone Number | 4065999086 |
NPI Number Detail
| NPI Number | 1750507703 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 W Kagy Blvd |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597156027 |
| Phone Number | 4065872327 |
| Fax Number | 4065873338 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2212 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33436 | MT | -- |
Post Comment/ Review Below
What is the Gallatin Valley Pediatric Dentistry's unique identification number?
The Gallatin Valley Pediatric Dentistry has been assigned the NPI (National Provider Identifier) Number 1750507703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Gallatin Valley Pediatric Dentistry is geographically located?
The Gallatin Valley Pediatric Dentistry is physically situated at the following location: 115 W Kagy Blvd, Bozeman, MT, 597156027.
What is the Gallatin Valley Pediatric Dentistry's area of specialization and corresponding taxonomy classification?
The Gallatin Valley Pediatric Dentistry's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1750507703 to Gallatin Valley Pediatric Dentistry?
The Gallatin Valley Pediatric Dentistry received its 1750507703 assignment from the Centers for Medicare & Medicaid Services on 2007-04-18.
As of what date were the Gallatin Valley Pediatric Dentistry's details last updated?
The information pertaining to the Gallatin Valley Pediatric Dentistry, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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