| Summit Dental Group | |
|
203 Business Center Loop Ste C Kalispell MT 59901-6885 | |
| (406) 752-4545 | |
| (406) 752-4405 |
| Full Name | Summit Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 Business Center Loop Ste C, Kalispell, Montana |
| Authorized Official Name and Position | Mark Vanzant (DENTIST) |
| Authorized Official Contact | 4067524545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Group 203 Business Center Loop Ste C Kalispell MT 59901-6885 Ph: (406) 752-4545 | Summit Dental Group 203 Business Center Loop Ste C Kalispell MT 59901-6885 Ph: (406) 752-4545 |
| NPI Number | 1427551464 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427551464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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