| Kenneth J Bagby Dds P C | |
|
1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 | |
| (406) 252-1078 | |
| (406) 245-8087 |
| Full Name | Kenneth J Bagby Dds P C |
|---|---|
| Speciality | Dentist |
| Location | 1540 Lake Elmo Dr Ste 3, Billings, Montana |
| Authorized Official Name and Position | Kenneth J Bagby (DENTIST) |
| Authorized Official Contact | 4062521078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Bagby Dds P C 1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 Ph: (406) 252-1078 | Kenneth J Bagby Dds P C 1540 Lake Elmo Dr Ste 3 Billings MT 59105-1798 Ph: (406) 252-1078 |
| NPI Number | 1912514977 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4082027412 |
|---|---|
| Medicare Enrollment ID | O20210104001619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912514977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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