BIGFORK DENTAL CENTER, P.C. NPI 1003008251

Clinic/Center (Dental) in Bigfork, MT

NPI 1003008251 Organization Clinic/Center Dental

About BIGFORK DENTAL CENTER, P.C.

Bigfork Dental Center, P.c. is a provider established in Bigfork, Montana specializing in clinic/center (dental) . The NPI number of Bigfork Dental Center, P.c. is 1003008251 and was assigned on August 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 1636 (MT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Gary Mccrummen D.d.s. (President)

NPI

1003008251

Provider NameBIGFORK DENTAL CENTER, P.C.
Provider Location Address8289 MT HIGHWAY 35 BIGFORK, MT 59911
Provider Mailing Address8289 MT HIGHWAY 35 BIGFORK, MT 59911
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-13-2007
Last Update Date08-13-2007


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental
License No.1636
License StateMT

Business Address

BIGFORK DENTAL CENTER, P.C.
8289 MT HIGHWAY 35
BIGFORK, MT
ZIP 59911
Phone: (406) 837-5611

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Mailing Address

BIGFORK DENTAL CENTER, P.C.
8289 MT HIGHWAY 35
BIGFORK, MT
ZIP 59911
Phone:



Authorized Official

Authorized Official NameDR. GARY MCCRUMMEN D.D.S.
Authorized Official TitlePRESIDENT
Authorized Official Phone(406) 837-5611

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5512692OTHER (01)MT

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659536142 ERIN CARLSON PRICE DMD
Individual
Dentist8289 MT HIGHWAY 35
BIGFORK, MT 59911
(406) 837-5611
1043598964ERIN C PRICE DMD PC
Organization
Dentist8289 MT HIGHWAY 35
BIGFORK, MT 59911
(406) 837-5611

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.