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406 PERIODONTICS, PLLC
NPI 1215655725
Dentist - Periodontics in Bozeman, MT

Active since August 19, 2022
1648 ELLIS ST STE 202, BOZEMAN, MT 59715(406) 414-1303(406) 577-2142 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 406 Periodontics, Pllc NPPES

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

406 PERIODONTICS, PLLC (NPI 1215655725) is a healthcare organization registered as a periodontics in Bozeman, Montana and active in the NPI registry since August 2022. The organization lists Jessica R Swoboda, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1215655725
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business Name406 PERIODONTICS, PLLC
Location Address1648 ELLIS ST STE 202Bozeman, MT 59715-8811
Mailing Address1648 Ellis St Ste 202Bozeman, MT 59715-8811 · (206) 931-4221
Phone(406) 414-1303
Fax(406) 577-2142
Organization SubpartNo
Authorized OfficialJessica R SwobodaOwner/member · (206) 931-4221
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1215655725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1648 ELLIS ST STE 202, Bozeman, MT 59715
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. SCOTT E. LAWSON DDS
Dentist (General Practice)
1648 ELLIS ST STE 202
BOZEMAN, MT 59715
Gallatin County (406) 587-4352

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 406 Periodontics, PLLC's NPI number?

The NPI number for 406 Periodontics, PLLC is 1215655725. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is 406 Periodontics, PLLC located?

406 Periodontics, PLLC is located at 1648 Ellis St Ste 202, Bozeman, MT 59715. The listed phone number is (406) 414-1303.

What is 406 Periodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for 406 Periodontics, PLLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.