| Sunset Dental Care Pc | |
|
417 2nd Ave Sw Conrad MT 59425 | |
| (406) 278-3609 | |
| (406) 278-5458 |
| Full Name | Sunset Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 417 2nd Ave Sw, Conrad, Montana |
| Authorized Official Name and Position | Schuyler Anne Vandyke (DENTIST DMD) |
| Authorized Official Contact | 4062783609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Dental Care Pc 417 2nd Ave Sw Conrad MT 59425 Ph: (406) 278-3609 | Sunset Dental Care Pc 417 2nd Ave Sw Conrad MT 59425 Ph: (406) 278-3609 |
| NPI Number | 1962511154 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962511154 | NPI | - | NPPES |
| 18804 | Other | MT | BLX |
| 0112438 | Medicaid | MT | |
| 5512182 | Other | MT | CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1880 (Montana) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Cherry Tree Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 2nd Ave Sw, Conrad, MT 59425 Phone: 406-278-3609 Fax: 406-278-5458 |