| George R. Carson D.d.s. P.c. | |
|
116 N Meade Ave Glendive MT 59330-1631 | |
| (406) 377-8265 | |
| Not Available |
| Full Name | George R. Carson D.d.s. P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 116 N Meade Ave, Glendive, Montana |
| Authorized Official Name and Position | George R. Carson (OWNER) |
| Authorized Official Contact | 4063778265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George R. Carson D.d.s. P.c. 116 N Meade Ave Glendive MT 59330-1631 Ph: (406) 377-8265 | George R. Carson D.d.s. P.c. 116 N Meade Ave Glendive MT 59330-1631 Ph: (406) 377-8265 |
| NPI Number | 1124186358 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124186358 | NPI | - | NPPES |
| 110075 | Medicaid | MT | |
| 5510958 | Other | MT | CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1321 (Montana) | Primary |
Glendive Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Kendrick Ave, Glendive, MT 59330 Phone: 406-377-6222 | |
Sandcreek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 N Meade Ave, Glendive, MT 59330 Phone: 406-377-8265 Fax: 406-377-8267 | |
Sandcreek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 N Meade Ave, Glendive, MT 59330 Phone: 406-377-8265 |