KOOTENAI FAMILY DENTISTRY (NPI# 1225274756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225274756 |
| Entity Type | Organization |
| Organization Name | KOOTENAI FAMILY DENTISTRY |
| Practice Address |
204 E 6th St Libby MT 59923-2052 |
| Mailing Address |
Po Box 1379 Libby MT 59923-1379 |
| Practice Telephone | 4062934116 |
| Practice Fax Number | 4062936645 |
| Mailing Telephone | 4062934116 |
| Mailing Fax Number | 4062936645 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | DR. RONALD E. MENDENHALL (OWNER) |
| Authorized Official Telephone | 4062934116 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1984 | MT | Dental Providers |
| Street Address |
204 E 6TH ST |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| 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 |
|---|---|---|---|---|
| 1285245852 | Robert Dilan Starkel | Dentist | 402 Montana Ave, Libby, MT 59923-2040 | 2020-08-16 |
| 1174804314 | Brandon James Burke | Dentist | 320 E 2nd St, Libby, MT 59923-2010 | 2011-09-01 |
| 1972818276 | Robert Sterling Rehl | Dentist | 217 E 2nd St, Libby, MT 59923-2047 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162525 | Kagy Family Dental | Dentist | 45 W Kagy Blvd Ste 4, Bozeman, MT 59715-6052 | 2020-10-21 |
| 1821697921 | Jewel Basin Dentistry | Dentist | 33 Doc Kimball, Big Fork, MT 59911 | 2020-10-20 |
| 1912514977 | Kenneth J Bagby Dds P C | Dentist | 1540 Lake Elmo Dr Ste 3, Billings, MT 59105-1798 | 2020-09-24 |
| 1003430570 | Allen Dental, Pllc | Dentist | 15 1st St Ne Ste 207151, Choteau, MT 59422-9275 | 2020-06-01 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1447745914 | Steve M. Mosby, Dds | Dentist | 310 Wendell Ave Ste 3, Lewistown, MT 59457-2267 | 2018-06-27 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1538604400 | Tmj & Sleep Therapy Centre of Montana, Inc | Dentist | 880 Primrose Rd N, Conrad, MT 59425-9129 | 2016-12-30 |
| 1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
| 1346691201 | Queen City Dental Studio | Dentist | 1300 N. Montana Ave, Helena, MT 59601 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
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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.