BIGFORK DENTAL CENTER, P.C. NPI 1003008251

Clinic/Center (Dental) in Bigfork, MT

About BIGFORK DENTAL CENTER, P.C.

Bigfork Dental Center, P.c. is a provider in Bigfork, MT. The NPI number assigned to this provider is 1003008251. The practitioner's primary taxonomy code is Clinic/Center (261QD0000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008251 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBIGFORK DENTAL CENTER, P.C.
Provider Location Address8289 MT HIGHWAY 35 BIGFORK, MT 59911 Additional informationCallout TooltipProvider 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 Address8289 MT HIGHWAY 35 BIGFORK, MT 59911 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date08-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-13-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

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:

Primary Taxonomy

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

Authorized Official

Authorized Official NameDR. GARY MCCRUMMEN D.D.S. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
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

Map Location


BIGFORK DENTAL CENTER, P.C. address is 8289 MT HIGHWAY 35 BIGFORK, MT 59911

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043598964ERIN C PRICE DMD PC
Organization
Dentist8289 MT HIGHWAY 35
BIGFORK, MT 59911
(406) 837-5611
1659536142 ERIN CARLSON PRICE DMD
Individual
Dentist8289 MT HIGHWAY 35
BIGFORK, MT 59911
(406) 837-5611
1841351848DR. GARY R. MCCRUMMEN D.D.S.
Individual
Dentist (General Practice)8289 MT HIGHWAY 35
BIGFORK, MT 59911
(406) 837-5611