HEALTHY SMILES DENTAL GROUP (NPI# 1962611533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962611533 |
| Entity Type | Organization |
| Organization Name | HEALTHY SMILES DENTAL GROUP |
| Practice Address |
203 2nd Ave Sw Sidney MT 59270-4019 |
| Practice Telephone | 4064337645 |
| Practice Fax Number | 4064331246 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTHONY THIESSEN (PRESIDENT) |
| Authorized Official Telephone | 4064337645 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1958 | MT | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHY SMILES DENTAL GROUP | 7306 Ne Fremont, Portland, OR 97213 |
| Connecticut Business Registrations | HEALTHY SMILES DENTAL GROUP, LLC | 500 Purdy Hill Rd, Unit 3, Monroe, CT 06468 |
| Street Address |
203 2ND AVE SW |
| City | SIDNEY |
| State | MT |
| Zip Code | 59270-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093950669 | Anthony David Thiessen | Dentist | 203 2nd Ave Sw, Sidney, MT 59270-4019 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042316 | Eagle Life Chiropractic PC | Chiropractor | 12019 Hwy 16, Sidney, MT 59270 | 2007-04-17 |
| 1790831444 | County of Richland | Public Health or Welfare | 1201 West Holly St., Suite #1, Sidney, MT 59270 | 2007-01-26 |
| 1407929524 | Rajohn Karanjai | Internal Medicine | 214 14th Ave Sw Ste 110, Sidney, MT 59270 | 2006-11-16 |
| 1740326859 | Orin Pete Council | Family Medicine | 214 14th Ave Sw, Suite 104, Sidney, MT 59270 | 2007-01-29 |
| 1972681831 | Edward Lewis Pierce | Internal Medicine | 214 14th Ave Sw, Suite 112, Sidney, MT 59270 | 2006-11-01 |
| 1902980907 | Edward Patrick Bergin | Surgery | 214 14th Ave Sw, Suite 105, Sidney, MT 59270 | 2006-10-25 |
| 1275616104 | Brett Russell Bennion | Ophthalmology | 214 14th Ave Sw, Suite 101, Sidney, MT 59270 | 2006-10-23 |
| 1770540254 | Jennifer Adams | Radiology | 216 14th Ave Sw, Sidney, MT 59270 | 2006-04-27 |
| 1497743959 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 14th Ave Sw, Sidney, MT 59270 | 2005-10-10 |
| 1760940027 | Sarah Ann Perrault | Counselor | 1405 4th St Sw Ste 2, Sidney, MT 59270-3515 | 2019-03-06 |
| Find all providers in zip 59270 | ||||
| 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 |
|---|---|---|---|---|
| 1598146532 | Braden Galvin | Dentist | 1550 W Sidney Rd, Sidney, MI 48885 | 2015-06-16 |
| 1891996633 | Leasa Marie Dornbier | Dentist | 1040 Old Post Rd, Sidney, NE 69162-3065 | 2007-05-30 |
| 1487708541 | Damen Patel | Dentist | 425 W Russell Rd, Sidney, OH 45365-1454 | 2007-01-23 |
| 1366507378 | Richard Leroy Fink | Dentist | 122 2nd St Se, Sidney, MT 59270-4104 | 2006-12-27 |
| 1881754026 | Changing Smiles Inc | Dentist | 325 2nd Ave, Sidney, OH 45365-1283 | 2006-12-11 |
| 1801964739 | David M Dettman | Dentist | 804 Illinois Street, Sidney, IA 51652 | 2006-11-30 |
| 1881767051 | Jeffery R Vantreese | Dentist | 2627 Broadway Ave, Sidney, OH 45365-1507 | 2006-11-16 |
| 1417034885 | William D Printz | Dentist | 1340 10th Ave, Sidney, NE 69162-2060 | 2006-11-01 |
| 1073618740 | Adarsh Giulab Mani | Dentist | 113 North Ohio Ave, Ste 310, Sidney, OH 45365 | 2006-09-14 |
| 1184647695 | Michael Patrick Neal | Dentist | 2678 11th Ave, Suite #1, Sidney, NE 69162-2471 | 2006-07-25 |
| Find all providers in SIDNEY | ||||
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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.