MONTANA DENTAL SPA (NPI# 1952947319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952947319 |
| Entity Type | Organization |
| Organization Name | MONTANA DENTAL SPA |
| Practice Address |
160 Heritage Way Ste 101 Kalispell MT 59901-3127 |
| Practice Telephone | 4063144044 |
| Mailing Telephone | 4063144044 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | GREGORY M SEAMAN (DOCTOR) |
| Authorized Official Telephone | 4063144044 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREGORY SEAMAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
160 HERITAGE WAY STE 101 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932363165 | Ronald Clifton Jarvis | Dentist | 160 Heritage Way Ste 101, Kalispell, MT 59901-3127 | 2008-07-16 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905063 | Glacier Valley Endodontics | Clinic/Center | 80 Four Mile Dr Ste 15, Kalispell, MT 59901-2665 | 2020-06-02 |
| 1427551464 | Dr Mark A Vanzant Pllc | Clinic/Center | 203 Business Center Loop Ste C, Kalispell, MT 59901-6885 | 2018-03-15 |
| 1497386973 | Big Heart Family Dentistry, Pllc | Clinic/Center | 1250 Burns Way Ste 2, Kalispell, MT 59901-3140 | 2020-02-03 |
| 1568945905 | Joel M. Booth, Dds, Pllc | Clinic/Center | 690 N Meridian Rd Ste 106, Kalispell, MT 59901-3508 | 2018-09-12 |
| 1295226330 | David D. Semrau, Dds, PC | Clinic/Center | 221 Parkway Dr, Kalispell, MT 59901-3013 | 2018-05-24 |
| 1740799527 | Glacier Grins Pediatric Dentistry, Pllc | Clinic/Center | 155 Hutton Ranch Rd # 102, Kalispell, MT 59901-2133 | 2017-09-25 |
| 1114163326 | Michael C Bowman Dds Pllc | Clinic/Center | 22 2nd Ave W, Suite 3000, Kalispell, MT 59901-4466 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050439 | Diggs Dental Care | Clinic/Center | 1547 S Higgins Ave Ste 103, Missoula, MT 59801-4226 | 2020-07-14 |
| 1558909093 | Mountain Shore Pllc | Clinic/Center | 50113 Us Highway 93, Polson, MT 59860-7035 | 2019-12-16 |
| 1922662840 | Smile Care Pllc | Clinic/Center | 14555 Hellgate Ln, Clinton, MT 59825-9715 | 2019-04-25 |
| 1831601483 | Murdock Family Dentistry | Clinic/Center | 926 Main St Ste 1, Billings, MT 59105-3359 | 2017-11-03 |
| 1861933632 | Wojj Pediatric Dentistry | Clinic/Center | 115 W Kagy Blvd Ste C, Bozeman, MT 59715-6030 | 2017-03-14 |
| 1265895999 | Budde Family Dentistry | Clinic/Center | 120 1st Street North, Glasgow, MT 59230 | 2016-03-31 |
| 1013378462 | Scobey Dental Inc. | Clinic/Center | 504 Timmons Street, Scobey, MT 59263 | 2016-03-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| 1215298195 | Missoula General Dentistry, P.C. | Clinic/Center | 3020 S Reserve St Ste B, Missoula, MT 59801-7652 | 2012-06-06 |
| 1083974661 | Partnership Health Center Inc. | Clinic/Center | 3050 Highway 83 North, Seeley Lake, MT 59868 | 2012-05-17 |
| 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.