THE VINE KIDS DENTAL
NPI 1073073268
Dentist - Pediatric Dentistry in Bozeman, MT

Active since March 22, 2019
120 N 7TH AVE, BOZEMAN, MT 59715(406) 404-8463 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Vine Kids Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE VINE KIDS DENTAL (NPI 1073073268) is a healthcare organization registered as a pediatric dentistry in Bozeman, Montana and active in the NPI registry since March 2019. The organization lists Ji Min Yochim, President, as its authorized official.

NPPES Registry Identity

NPI1073073268
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHE VINE KIDS DENTAL
Location Address120 N 7TH AVEBozeman, MT 59715-3304
Mailing AddressPo Box 4708Bozeman, MT 59772-4708
Organization SubpartNo
Authorized OfficialJi Min YochimPresident · (406) 404-8463
Enumeration DateMarch 22, 2019
NPI 1073073268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

120 N 7TH AVE, Bozeman, MT 59715

Other Identifiers 1

Medicaid1578899886MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
120 N 7TH AVE
BOZEMAN, MT 59715
Optometrist
120 N 7TH AVE
BOZEMAN, MT 59715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Vine Kids Dental's NPI number?

The NPI number for The Vine Kids Dental is 1073073268. It was assigned to this organization in the NPPES registry on March 22, 2019.

Where is The Vine Kids Dental located?

The Vine Kids Dental is located at 120 N 7th Ave, Bozeman, MT 59715. The listed phone number is (406) 404-8463.

What is The Vine Kids Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for The Vine Kids Dental was last updated on March 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.