| Nanette B.i. Ault, D.d.s., P.c. | |
|
619 Sw Higgins Ave Ste G Missoula MT 59803-1430 | |
| (406) 549-4867 | |
| (406) 721-3692 |
| Full Name | Nanette B.i. Ault, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 619 Sw Higgins Ave Ste G, Missoula, Montana |
| Authorized Official Name and Position | Nanette B.i. Ault (PERIODONTIST) |
| Authorized Official Contact | 4065494867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nanette B.i. Ault, D.d.s., P.c. P.o. Box 1131 Missoula MT 59806 Ph: (406) 549-4867 | Nanette B.i. Ault, D.d.s., P.c. 619 Sw Higgins Ave Ste G Missoula MT 59803-1430 Ph: (406) 549-4867 |
| NPI Number | 1023181260 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023181260 | NPI | - | NPPES |
| 20894 | Other | MT | BLUECROSS BLUESHIELD |
| 0113390 | Medicaid | MT | |
| 2089 | Other | MT | DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2089 (Montana) | Primary |
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Kevin A. Miltko Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 South Ave W, Missoula, MT 59801 Phone: 406-721-1550 Fax: 406-721-1552 | |
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Helms Family Dental Practice Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1547 S Higgins Ave, Missoula, MT 59801 Phone: 406-728-3848 | |
Ronald F Rosser Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Sw Higgins Ave, Ste H, Missoula, MT 59803 Phone: 406-543-3159 Fax: 406-543-3150 | |
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