| Headwaters Orthodontics, PLLC | |
|
80 Willow Peak Dr Unit D Bozeman MT 59718-9827 | |
| (406) 920-4200 | |
| Not Available |
| Full Name | Headwaters Orthodontics, PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 80 Willow Peak Dr Unit D, Bozeman, Montana |
| Authorized Official Name and Position | Vivian Snider (OWNER) |
| Authorized Official Contact | 7192441548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Orthodontics, PLLC 110 N Hoffman St Belgrade MT 59714-3607 Ph: (719) 244-1548 | Headwaters Orthodontics, PLLC 80 Willow Peak Dr Unit D Bozeman MT 59718-9827 Ph: (406) 920-4200 |
| NPI Number | 1982433793 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982433793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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