BREWER DENTAL CENTER PLLC


Address: 2900 Central Ave, Bldg1, Billings, MT 59102-6686
Phone: 4066566100

BREWER DENTAL CENTER PLLC (NPI# 1548410327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548410327
Entity Type Organization
Organization Name BREWER DENTAL CENTER PLLC
Other Organization Name BREWER DENTAL CENTER
Practice Address 2900 Central Ave, Bldg1
Billings
MT 59102-6686
Practice Telephone 4066566100
Practice Fax Number 4066568726
Mailing Telephone 4066566100
Mailing Fax Number 4066568726
Enumeration Date 2008-09-29
Last Update Date 2017-12-29
Authorized Official Name ELGIN WADE WILDE (OWNER)
Authorized Official Telephone 4066566100
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
1664 MT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 113607 05

Other Provider/Organization Names

Other Name Type Code
Brewer Dental Center Other Name - Individual/Organization

Office Location

Street Address 2900 CENTRAL AVE, BLDG1
City BILLINGS
State MT
Zip Code 59102-6686

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1326586124 Bailey K. Wilson Behavior Technician 3101 Lynn Ave., Apt. #3, Billings, MT 59102 2017-02-01
1588108120 Angela Grimm Counselor 1200 30th St W, Billings, MT 59102 2016-12-16
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113726 Yellowstone Denture Clinic PC Dentist 926 Main St Ste 23, Billings, MT 59105-3359 2020-10-30
1518495845 Core Dental Care Dentist 2700 Grand Ave Ste C, Billings, MT 59102-2682 2017-05-31
1316475106 Legacy Smiles International Dentist 2700 Grand Ave Ste D, Billings, MT 59102-2682 2017-05-24
1679007090 Billings Grand Pllc Dentist 918 Grand Ave, Billings, MT 59102-3302 2017-04-12
1700239340 Tdc-shiloh PC Dentist 1002 Shiloh Crossing Blvd, Billings, MT 59102-7359 2016-07-19
1558715136 Brysen Hansen Dentist 2860 Old Hardin Rd Ste A, Billings, MT 59101-6808 2016-04-20
1528400900 Expediton Dentistry Dentist 993 S 24th St W Ste A, Billings, MT 59102-7433 2013-07-25
1508128919 Ryan Judson Ross Dentist 2911 Grand Ave, Billings, MT 59102-6526 2012-06-12
1659667152 Wcw Dental LLC Dentist 3737 Grand Ave Ste 8, Billings, MT 59102-6258 2011-06-22
1962739649 Billings West General Dentistry Dentist 2700 Grand Ave Ste F, Billings, MT 59102-2682 2009-11-17
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Competitor

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City BILLINGS
Zip Code 59102

Improve Information

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Dataset Information

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.

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