| Jeff A Dalen Dds Pllc | |
|
6345 Us Highway 93 S Whitefish MT 59937-8236 | |
| (406) 862-4301 | |
| (406) 862-9347 |
| Full Name | Jeff A Dalen Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6345 Us Highway 93 S, Whitefish, Montana |
| Authorized Official Name and Position | Jeff A Dalen (OWNER) |
| Authorized Official Contact | 4068624301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff A Dalen Dds Pllc Po Box 4909 Whitefish MT 59937-4909 Ph: (406) 862-4301 | Jeff A Dalen Dds Pllc 6345 Us Highway 93 S Whitefish MT 59937-8236 Ph: (406) 862-4301 |
| NPI Number | 1427074053 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427074053 | NPI | - | NPPES |
| 0112217 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1381 (Montana) | Secondary |
| 1223G0001X | Dentist - General Practice | 2175 (Montana) | Primary |
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