| Premier Choice Dental Pllc | |
|
8707 Jackrabbit Ln Belgrade MT 59714-8995 | |
| (406) 671-0496 | |
| Not Available |
| Full Name | Premier Choice Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8707 Jackrabbit Ln, Belgrade, Montana |
| Authorized Official Name and Position | John W Bennion (MANAGER) |
| Authorized Official Contact | 4066710496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Choice Dental Pllc 8707 Jackrabbit Ln Belgrade MT 59714-8995 Ph: (406) 671-0496 | Premier Choice Dental Pllc 8707 Jackrabbit Ln Belgrade MT 59714-8995 Ph: (406) 671-0496 |
| NPI Number | 1366099517 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 1658784285 |
|---|---|
| Medicare Enrollment ID | O20201228002293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366099517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | John W Bennion |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265530133 PECOS PAC ID: 9638073950 Enrollment ID: I20031119000917 |
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