JUSTIN SHIRK (NPI# 1144773698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144773698 |
| Entity Type | Individual |
| Full Name | JUSTIN SHIRK |
| Credential | DDS |
| Practice Address |
7300 N Perimeter Rd Great Falls MT 59402-6701 |
| Practice Telephone | 4067312511 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7309 | NE | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16883 Oakmont Dr Apt 13, Omaha, NE 681361833 | 7858710692 |
| Street Address |
7300 N PERIMETER RD |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59402-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480060 | Dominique Edwards | Dental Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-09-03 |
| 1609480011 | Baokou Bungard-thao | Dental Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-09-02 |
| 1659906527 | Kelsey Gavin Aldridge | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-03-11 |
| 1891335881 | Lidya Paola Galvan Reyes | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-01-08 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1548730724 | Brennan Kaine Jacobs | Pharmacist | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-11-29 |
| 1639644339 | Anton Garcia Hayward | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-10-09 |
| 1609327428 | Usaf | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-10-17 |
| 1407257793 | Shaun Mark Saunders | Physician Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2014-09-06 |
| 1700125960 | Chad Bechtle | Optometrist | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1396181533 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 | 2013-05-15 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1437205119 | Misty Dawn Robertson | Dental Hygienist | 3700 N Perimeter Road, Malmstrom Afb, MT 59402 | 2007-01-26 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1356329817 | Timothy Paul Gacioch | Physician Assistant | 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 | 2006-01-05 |
| 1104848159 | Malmstrom Air Force Base | Military Hospital | 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 | 2006-07-25 |
| Find all providers in zip 59402 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440146 | Russell Ray Jensen | Dentist | 1804 38th St South, Great Falls, MT 59405 | 2013-07-31 |
| 1871838581 | Joseph Alwan | Dentist | 30128 Merchant Ct, Great Falls, VA 22066-4219 | 2012-12-06 |
| 1114272226 | Kevin Lynn Guymon | Dentist | 1301 12th Ave S Ste 100, Great Falls, MT 59405-4600 | 2012-07-16 |
| 1992064349 | Trent C Clifton | Dentist | 2714 15 Avenue South, Great Falls, MT 59405 | 2012-05-04 |
| 1104062843 | Eugene A. Tynes D.d.s. P.C. | Dentist | 300 Park Dr S Ste 202, Great Falls, MT 59405-1819 | 2008-12-31 |
| 1255514568 | John K Stewart | Dentist | 2609 16th Ave S, Great Falls, MT 59405-5202 | 2007-12-10 |
| 1659561249 | Whitney Thompson Delaney | Dentist | 848 Constellation Dr, Great Falls, VA 22066-2503 | 2007-07-30 |
| 1477687168 | Kenneth Charles Small | Dentist | 2527 6th Ave So, Great Falls, MT 59405 | 2007-03-15 |
| 1144355827 | Frederick Lawrence Sherer | Dentist | 1125 2nd Avenue North, Suite #5, Great Falls, MT 59401 | 2007-02-22 |
| 1518020544 | Donald P Jelinek | Dentist | 52 Fisher Rd, Great Falls, MT 59405-8114 | 2006-12-19 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59402 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.