| West Yellowstone Dental | |
|
317 North Canyon St West Yellowstone MT 59758-9503 | |
| (406) 646-7766 | |
| (406) 646-1066 |
| Full Name | West Yellowstone Dental |
|---|---|
| Speciality | Clinic/center |
| Location | 317 North Canyon St, West Yellowstone, Montana |
| Authorized Official Name and Position | Ryan Douglas Smith (OWNER/DENTIST) |
| Authorized Official Contact | 4066467766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Yellowstone Dental Po Box 1966 317 North Canyon St. West Yellowstone MT 59758-1966 Ph: (406) 646-7766 | West Yellowstone Dental 317 North Canyon St West Yellowstone MT 59758-9503 Ph: (406) 646-7766 |
| NPI Number | 1417393752 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417393752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |