| Roundup Family Dentistry | |
|
239 Main St Roundup MT 59072-2735 | |
| (406) 323-1234 | |
| Not Available |
| Full Name | Roundup Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 239 Main St, Roundup, Montana |
| Authorized Official Name and Position | Jack Daigrepont (GENERAL DENTIST) |
| Authorized Official Contact | 4063231234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roundup Family Dentistry 239 Main St Roundup MT 59072-2735 Ph: (406) 323-1234 | Roundup Family Dentistry 239 Main St Roundup MT 59072-2735 Ph: (406) 323-1234 |
| NPI Number | 1700522398 |
|---|---|
| Provider Enumeration Date | 05/07/2022 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700522398 | NPI | - | NPPES |
| 146801068 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |