| Bozeman Dentistry | |
|
115 W Kagy Blvd Ste I Bozeman MT 59715-6027 | |
| (406) 586-7661 | |
| (406) 586-7662 |
| Full Name | Bozeman Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 115 W Kagy Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Gabriel Mccormick (OWNER/MEMBER) |
| Authorized Official Contact | 4065867661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Dentistry 115 W Kagy Blvd Ste I Bozeman MT 59715-6027 Ph: (406) 586-7661 | Bozeman Dentistry 115 W Kagy Blvd Ste I Bozeman MT 59715-6027 Ph: (406) 586-7661 |
| NPI Number | 1245687250 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245687250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2343 (Montana) | Primary |
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