DR. LAURA RADDATZ (NPI# 1750418588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750418588 |
| Entity Type | Individual |
| Full Name | DR. LAURA RADDATZ |
| Credential | D.D.S |
| Practice Address |
195 Commons Loop Ste A Kalispell MT 59901-1912 |
| Practice Telephone | 4067555280 |
| Practice Fax Number | 4067527679 |
| Mailing Telephone | 4067555280 |
| Mailing Fax Number | 4067527679 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
1979 | MT | Dental Providers |
| Street Address |
195 COMMONS LOOP STE A |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563443 | Ronald B Potthoff | Dentist | 195 Commons Loop Ste A, Kalispell, MT 59901-1912 | 2007-01-14 |
| 1306458377 | Ronald B Potthoff Dds | Dentist | 195 Commons Loop Ste A, Kalispell, MT 59901-1912 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619413184 | Smile Montana Urgent Dental Center | Dentist | 115 Commons Way Ste 102, Kalispell, MT 59901-1906 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861401077 | Christopher B Loomis | Dentist | 907 Helena Ave, Helena, MT 59601-3425 | 2006-08-05 |
| 1144884297 | Cherry Tree Dental PC | Dentist | 417 2nd Ave Sw, Conrad, MT 59425-1901 | 2019-04-24 |
| 1235583899 | Kelsey Anne Ammondson | Dentist | 123 S 27th St, Billings, MT 59101-4227 | 2016-04-20 |
| 1477987931 | Kyle Stewart Denning | Dentist | 2619 Colonial Dr Ste B, Helena, MT 59601-4948 | 2013-09-02 |
| 1942588439 | Amy Kristina Lee Gustafson | Dentist | 123 S 27th St, Billings, MT 59101-4200 | 2011-08-01 |
| 1902049521 | Lee Bondurant Harrison | Dentist | 760 Hospital Cir, Phs Indian Hospital, Blackfeet Service Unit, Browning, MT 59417 | 2009-04-13 |
| 1578712246 | Daniel Wordal | Dentist | 1930 9th Ave, Helena, MT 59601-4759 | 2008-09-17 |
| 1548391444 | Philip G Driscoll | Dentist | Blackfeet Community Hospital, Government Square, Browning, MT 59417 | 2007-03-09 |
| 1811049471 | Monte L Cooper | Dentist | 115 4th St S, Great Falls, MT 59401-3618 | 2007-01-16 |
| 1184780421 | Mackay Joseph Hull | Dentist | 123 S 27th St, Billings, MT 59101-4227 | 2006-12-29 |
| 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.