| Glacier Dental Clinic | |
|
140 S Central Ave Cut Bank MT 59427-3298 | |
| (406) 873-5222 | |
| Not Available |
| Full Name | Glacier Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 S Central Ave, Cut Bank, Montana |
| Authorized Official Name and Position | Sylvia Berkram (CFO) |
| Authorized Official Contact | 4068735670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glacier Dental Clinic 519 E Main St Cut Bank MT 59427-3015 Ph: (406) 873-5670 | Glacier Dental Clinic 140 S Central Ave Cut Bank MT 59427-3298 Ph: (406) 873-5222 |
| NPI Number | 1497992424 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497992424 | NPI | - | NPPES |
| 730418 | Medicaid | MT | |
| 000084542 | Other | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1843 (Montana) | Primary |
Lowery Haemig Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 9th Ave Se, Cut Bank, MT 59427 Phone: 406-873-4941 Fax: 406-873-5583 |