FULL CARE DENTAL PLLC (NPI# 1174653372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174653372 |
Entity Type | Organization |
Organization Name | FULL CARE DENTAL PLLC |
Practice Address |
690 Sw Higgins Ave Ste E Missoula MT 59803-1433 |
Practice Telephone | 4065433777 |
Practice Fax Number | 4065436205 |
Mailing Telephone | 4065433777 |
Mailing Fax Number | 4065436205 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. TIMOTHY M LAWHORN (OWNER, DENTIST) |
Authorized Official Telephone | 4065433777 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
1744 | MT | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | CHIP | 5512828 | 01 |
MT | 0110903 | 05 |
Street Address |
690 SW HIGGINS AVE STE E |
City | MISSOULA |
State | MT |
Zip Code | 59803-1433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669008421 | New Health Montana Inc | Clinic/Center | 690 Sw Higgins Ave Ste E, Missoula, MT 59803-1433 | 2020-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
Find all providers in zip 59803 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013375021 | Kevin A. Miltko Dds | Dentist | 1550 South Ave W, Missoula, MT 59801-7806 | 2016-02-04 |
1659627594 | Ronald F Rosser | Dentist | 690 Sw Higgins Ave Ste H, Missoula, MT 59803-1433 | 2012-07-30 |
1942483524 | Missoula Pediatric Dentistry PC | Dentist | 1300 South Reserve St, Suite B, Missoula, MT 59801 | 2007-12-06 |
1518097476 | David Roy Shelby | Dentist | 628 South Ave W, Missoula, MT 59801 | 2007-03-07 |
1881739688 | Stephen C Noyd | Dentist | 1901 S Higgins Ave, Missoula, MT 59801-6764 | 2007-02-20 |
1396887444 | John Spierling Dmd | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1464 | 2007-02-13 |
1730233412 | George Martin Olsen | Dentist | 237 Sw Higgins Ave, Ste C, Missoula, MT 59803-1403 | 2007-01-22 |
1437202777 | Robert Michael Delaney | Dentist | 1121 S Higgins Ave, Missoula, MT 59801-4142 | 2007-01-19 |
1275681439 | John Barr Snively | Dentist | 1227 S Higgins Ave, Missoula, MT 59801-4140 | 2007-01-06 |
1962564179 | Scott D Erler | Dentist | 619 Sw Higgins Ave, Suite M, Missoula, MT 59803-1467 | 2006-12-14 |
Find all providers in MISSOULA |
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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.