TRAILHEAD PEDIATRIC DENTISTRY (NPI# 1841839230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841839230 |
| Entity Type | Organization |
| Organization Name | TRAILHEAD PEDIATRIC DENTISTRY |
| Practice Address |
513 Hilltop Rd Ste 5 Billings MT 59105-2375 |
| Mailing Address |
1601 Zimmerman Trl Ste 1 Billings MT 59102-7654 |
| Practice Telephone | 4062483303 |
| Practice Fax Number | 4062483939 |
| Mailing Telephone | 4062483303 |
| Mailing Fax Number | 4062483939 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | KATIE MCELROY (SR HR MANAGER) |
| Authorized Official Telephone | 4062483303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Trailhead Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
513 HILLTOP RD STE 5 |
| City | BILLINGS |
| State | MT |
| Zip Code | 59105-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181271 | Colette Urfer | Counselor | 1017 Babcock Blvd, Billings, MT 59105 | 2019-12-11 |
| 1922541028 | Michelle Davis | Counselor | 505 Milton Road, Billings, MT 59105 | 2016-11-22 |
| 1265974299 | Heidi Kenney | Counselor | 1345 Elaine St, Billings, MT 59105 | 2016-11-08 |
| 1134582992 | Alexandra Petrino | Counselor | 926 Main St Ste 22d, Billings, MT 59105 | 2016-03-30 |
| 1548685415 | Sarah Marie Lawler | Occupational Therapy Assistant | 1415 Yellowstone River Rd., Billings, MT 59105 | 2014-02-28 |
| 1861788325 | Katrina Marie Rauch | Midwife | 15 W Wicks Lane, Suite B, Billings, MT 59105 | 2011-06-23 |
| 1356592349 | Robert Allan Bronecki | Dentist | 926 Main, Suite #23, Billings, MT 59105 | 2008-10-08 |
| 1902933385 | Andrew W Pickens | Dentist | 730 Main, Suite 101, Billings, MT 59105 | 2007-02-27 |
| 1578651352 | Daniel T Mcquinn | Dentist | 760 Wicks Lane, Billings, MT 59105 | 2006-10-10 |
| 1750376299 | Lantis Enterprises, Inc | Speech-Language Pathologist | 1415 Yellowstone River Rd, Billings, MT 59105 | 2005-09-12 |
| Find all providers in zip 59105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720446289 | Clint Chlarson | Dentist | 3042 Golden Acres Dr, Billings, MT 59106-2254 | 2016-01-29 |
| 1346631249 | Tanner Douglas Bennion | Dentist | 2700 Grand Ave Ste B, Billings, MT 59102-2682 | 2015-02-12 |
| 1417244781 | Camron Shayn Buttars | Dentist | 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7654 | 2011-07-07 |
| 1063662294 | Brady S Keller | Dentist | 1690 Rimrock Rd Ste C, Billings, MT 59102-0700 | 2008-09-24 |
| 1285739409 | Kelly Michael Clarke | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2006-09-13 |
| 1770922379 | Nathan Brian Stanley | Dentist | 1601 Zimmerman Trl Ste 1, Billings, MT 59102-7652 | 2013-06-18 |
| 1629324306 | Rimrock Pediatric Dentistry | Dentist | 1601 Zimmerman Trail, Suite 1, Billings, MT 59102-7652 | 2012-07-31 |
| 1013278126 | Christina M Clement | Dentist | 1690 Rimrock Rd, #c, Billings, MT 59102-0700 | 2012-06-05 |
| 1730209974 | Pediatric Dental Specialists | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2007-03-30 |
| 1427158070 | Thomas James Wickliffe | Dentist | 1690 Rimrock Rd, Billings, MT 59102-0700 | 2006-09-24 |
| Find all providers in BILLINGS | ||||
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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.