| Jewel Basin Dentistry | |
|
33 Doc Kimball Big Fork MT 59911 | |
| (406) 614-2020 | |
| Not Available |
| Full Name | Jewel Basin Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 33 Doc Kimball, Big Fork, Montana |
| Authorized Official Name and Position | Timothy Bagnell (PRESIDENT) |
| Authorized Official Contact | 4066142020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel Basin Dentistry 33 Doc Kimball Way Big Fork MT 59911 Ph: () - | Jewel Basin Dentistry 33 Doc Kimball Big Fork MT 59911 Ph: (406) 614-2020 |
| NPI Number | 1821697921 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821697921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |