| Western Montana Family Dentistry | |
|
63355 Us Highway 93 Ronan MT 59864-2702 | |
| (406) 676-8880 | |
| (406) 676-8881 |
| Full Name | Western Montana Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 63355 Us Highway 93, Ronan, Montana |
| Authorized Official Name and Position | Timothy Howard Bagnell (OWNER/DENTIST) |
| Authorized Official Contact | 4066768880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Montana Family Dentistry 63355 Us Highway 93 Ronan MT 59864-2702 Ph: (406) 676-8880 | Western Montana Family Dentistry 63355 Us Highway 93 Ronan MT 59864-2702 Ph: (406) 676-8880 |
| NPI Number | 1821379009 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821379009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1951 (Montana) | Primary |
Ronan Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Dayton St Sw, Ronan, MT 59864 Phone: 406-676-7600 |