GREAT FALLS DENTAL ASSOCIATES LLC (NPI# 1275895039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275895039 |
Entity Type | Organization |
Organization Name | GREAT FALLS DENTAL ASSOCIATES LLC |
Practice Address |
1601 2nd Ave N Ste 100 Great Falls MT 59401-3285 |
Practice Telephone | 4064528740 |
Mailing Telephone | 4064528740 |
Enumeration Date | 2012-06-07 |
Last Update Date | 2012-06-07 |
Authorized Official Name | MR. DAVID B SELANDER (PRESIDENT) |
Authorized Official Telephone | 4064528740 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
C226542-1319149 | MT | Dental Providers |
Street Address |
1601 2ND AVE N STE 100 |
City | GREAT FALLS |
State | MT |
Zip Code | 59401-3285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902211725 | Emerson G Godbolt | Dentist | 1601 2nd Ave N Ste 100, Great Falls, MT 59401 | 2014-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
Find all providers in zip 59401 |
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 |
---|---|---|---|---|
1770005431 | Kimberly J Currie | Dentist | 202 2nd Ave S Ste 203, Great Falls, MT 59405-1831 | 2017-07-13 |
1518324987 | David Allan Currie | Dentist | 1900 River Dr N, Great Falls, MT 59401-1300 | 2016-01-15 |
1730568627 | Steven Curtis Frames | Dentist | 1004 Bowen Ct, Great Falls, VA 22066-1500 | 2015-05-25 |
1841613049 | Leighton Roger Holley IIi | Dentist | 2507 6th Ave S, Great Falls, MT 59405-3013 | 2014-01-24 |
1154562114 | Erica Elizabeth Sok | Dentist | 1025 Seneca Rd, Suite B, Great Falls, VA 22066-1365 | 2009-03-20 |
1780840470 | Thomas Robert Bigelow | Dentist | 2503 6th Ave S, Great Falls, MT 59405-3013 | 2008-08-01 |
1952510471 | Robin R. Neil | Dentist | 503 1st Ave N Ste 212, Great Falls, MT 59401-2502 | 2007-05-21 |
1457478752 | A Eugene Bailey Dds PC | Dentist | 2523 6th Ave So, Great Falls, MT 59405 | 2007-03-23 |
1962529081 | Bryan K Pike | Dentist | 2615 16th Avenue South, Great Falls, MT 59404 | 2007-03-23 |
1124143193 | Timothy John Zellmer | Dentist | 1301 Twelfth Avenue South, Great Falls, MT 59406-6890 | 2007-03-20 |
Find all providers in GREAT FALLS |
City | GREAT FALLS |
Zip Code | 59401 |
Please comment or provide details below to improve the information on GREAT FALLS DENTAL ASSOCIATES LLC.
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.